Medicaid State Plan Amendments

This plan amendment updates the payment methodologies for vision services.

This plan amendment makes technical changes to the cost-based reconciliation process and reporting requirements used to determine rates for psychiatric residential treatment facility (PRTF) services. It also transfers oversight authority for PRTFs from the Department of Children, Youth and Families to the state's Executive Office of Health and Human Services.

This plan amendment provides additional payments to non-state government public residential health care facilities.

This SPA allows Virginia to update the state’s excluded drug listing.

This amendment proposes that Rhode Island update its Medicaid State Plan to attest compliance with the new “four walls” exception for Indian Health Services (IHS) and Tribal Facilities.

This Amendment resource disregard of cash received in conjunction with governmental or nongovernmental medical or social services programs.

This plan amendment updates the Current Procedural Terminology (CPT) codes applicable to the Primary Care Practitioner (PCP) Services.

This amendment requests an extension of the exception to the Recovery Audit Contractor (RAC) requirements for an additional two (2) years, through April 30, 2027.

This amendment proposes to update limits and prior authorization requirements for physical, occupational and speech/language therapy services to reduce the burden to access these services.

This State Plan Amendment requests an extension of the exemption from participation in the Recovery Audit Contractor (RAC) program.