Medicaid State Plan Amendments

This amendment is to streamline behavioral health workforce credentialing and modifies qualifications for Case Managers I and II.

This amendment allows Mississippi to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.

This amendment allows Oklahoma to cover prescribed drugs that are not covered outpatient drugs (including drugs authorized for import by the Food and Drug Administration) when medically necessary during drug shortages.

This SPA increases the states professional dispensing fee to $11.55 per prescription.

This SPA adds language to the State Plan page attesting that the state is in compliance with the Federal Upper Limit (FUL) requirements for multiple source drugs.

This amendment is to memorialize its new state supplement eligibility standards.

This amendment is to memorialize certain changes to the payment calculations of its state supplement program.

This amendment proposes to attest that New Hampshire would establish a Medicaid Recovery Audit Contractor (RAC) program as required by federal regulation for a two-year period.

This amendment proposes to reflect changes in payment rates for home visiting services and codify the Nurse-Family Partnership and Health Families America into the State Plan.

Updates Supplement to Attachment 4.22 of Pennsylvania’s Medicaid State Plan to reflect Pennsylvania’s compliance with the third-party liability (TPL) requirements, Section 1902(a)(25)(I), as amended by the Consolidated Appropriations Act, 2022.