Medicaid State Plan Amendments

This plan amendment continues temporary rate adjustments to long term care providers that are undergoing closure, merger, consolidation, acquisition or restructuring themselves or other health care providers.

This plan amendment funds an additional class of supplemental payments to qualifying hospitals and to discontinue certain disproportionate share hospital payments and supplemental payments in Fiscal Year 2024-2025.

This plan amendment will continue the funding of inpatient disproportionate share hospital (DSH), outpatient supplemental, direct medical education payments, and certain DSH and supplemental payments for new hospitals. There will be no changes to the qualifying criteria or payment methodologies.

This plan amendment adds a 1% increase to operating components of inpatient rates of reimbursement for hospitals certified under Article 28 of the Public Health Law, as well as out-of-state acute care hospitals, for dates of services on or after April 1, 2022.

This plan amendment provides to continue the previously authorized wage increase for in person care for Medicaid beneficiaries provided by all clinical direct care workers and eligible non-clinical direct care workers in Medicaid-certified skilled nursing facilities.

Effective November 20, 2024, this SPA amends the provisions governing the Pharmacy Benefits Management Program in order to align the language relative to vaccine administration and fees with CMS requirements.

This amendment attests to the state 's compliance with the third party liability requirements in Section 1902(a)(25)(1) of the Social Security Act.

This plan amendment clarifies mental health rate determination language without modifying the methodology for setting rates.

This plan amendment updates Private Duty Nursing rates.

This plan amendment updates rates for Personal Care Assistants (PCAs).