Medicaid State Plan Amendments

This amendment covers for services provided by a licensed recreational therapist.

This amendment adds the Management of Self-Monitoring Blood Pressure (SMBP) treatment plans as a preventive outpatient service for persons using SMBP devices as part of their care.

This amendment provides attestations for preventive services under the Inflation Reduction Act including any covered clinical preventive services with a rating of A or B by the United States Preventive Services Task Force (USPSTF), and adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP), and their administrative costs, without cost sharing to the enrollee.

This amendment will allow Medicaid to exempt anti-retroviral medications used to treat HIV for the purpose of reducing viral load from Medicaid co-payments.  These medications currently require a co-payment of $4 per prescription.

This SPA establishes coverage for lactation support services by qualified providers, authorized under the preventive services benefit.

This amendment updates provisions for dental services, increases payments for a range of Medicaid-covered services, and incorporates updates to Healthcare Common Procedure Code System (HCPCS) codes effective January 1, 2024.

This amendment proposes to allow the Division of Medicaid to add coverage for up to twelve ( 12) tobacco cessation counseling sessions per year.

This amendment proposes coverage for all approved vaccines recommended by the Advisory Committee on Immunization Practices and vaccine administration when furnished by a qualified provider.

This amendment proposes to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid.

This amendment was submitted on December 19, 2023, in order to update the fee schedules for Family Planning Services.