Medicaid State Plan Amendments

This amendment proposed to increase its resource standards for the Medically Needy, Ticket to Work Basic, and Ticket to Work Medical Improvement eligibility groups.

This SPA proposes to establish coverage of Certified Community Behavioral Health Clinics (CCBHC) and reimbursement of CCBHC services.

This plan amendment adds neonatal procedure codes to the conversion factors inadvertently omitted by the state in OR-22-0005.

This amendment expands the Hospice Benefit to all Medicaid members provided they meet the criteria for hospice,
and the hospice benefit is within the scope of their categorical eligibility.

This SPA is to update the effective date of the fee schedule for Home and Community Based Services (HCBS), Adult Family Home daily rate, the Assisted Living Facility daily rate, the Adult Day Health daily rate, the Agency Provider hourly rate, and the Consumer Directed Employer (CDE) rate.

This plan amendment updates the Evaluation and Management (E&M) reimbursement.

This state plan amendment waives the Four Walls requirement for outpatient mental health clinics in Maryland.

This amendment is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Connecticut's State Plan.

This amendment removes the requirement that the provider requesting an eConsult must be a primary care medical provider (PCMP).

This amendment updates Ohio's Comprehensive Primary Care (CPC) and CPC for Kids Programs under the state plan for program year 2025.