Medicaid State Plan Amendments

This plan amendment increases nurse midwives’ allowable fees to 100% of the allowable listed fees in the physician pricing regulations.

This plan amendment implements a legislative mandate to establish an additional Disproportionate Share Hospital (DSH) pool in the amount of $12.9 million, designated specifically for payments to government-owned and operated providers.

This SPA adds non-licensed Certified Professional Midwives to provide maternity services under the category of preventive
services.

This amendment adds multidimensional family therapy services under the rehabilitative services benefit.

This amendment reduces the SoonerSelect choice period from 60 days to 30 days, and to clarify that members covered under the SoonerPlan program for family planning visits are excluded from the ABP and SoonerSelect.

This amendment proposes to provide targeted case management service coverage for Medicaid recipients with substance use disorder and to align with CMS Medically Unlikely Edit coding, effective January 1, 2025.

This amendment proposes an exception to the four walls requirement for clinic services provided by Indian Health Service (IHS) or Tribal facilities and for clinic services delivered to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address.

This amendment proposes an exception to the four walls requirement for clinic services provided by Indian Health Service (IHS) or Tribal facilities and for clinic services delivered to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address.

This amendment proposes an exception to the four walls requirement for clinic services provided by Indian Health Service (IHS) or Tribal facilities and for clinic services delivered to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address.

This amendment proposes an exception to the four walls requirement for clinic services provided by Indian Health Service (IHS) or Tribal facilities and for clinic services delivered to an eligible individual who does not reside in a permanent dwelling or does not have a fixed home or mailing address.