Medicaid State Plan Amendments

This SPA is to amend its state plan to add a new 1915(k) Community First Choice (CFC) benefit.

This amendment is to renew Arkansas’ 1915(i) State Plan HCBS benefit with the following changes: 1) Update the line of authority for operating the state Plan benefit to the Medicaid operating agency, 2) Authorize telehealth visits for 1915(i)-eligibility re-evaluations, 3) Replace transition language with HCBS settings compliance language, 4) Add two new services: assertive community treatment and intensive in-home services, and 5) Rename mobile crisis intervention to crisis stabilization intervention.

This amendment is to renew Arkansas’ 1915(i) State Plan HCBS benefit with the following changes: 1) Remove the concurrent 1115 authority, 2) Authorize telehealth visits for 1915(i)-eligibility re-evaluations, and 3) Replace transition language with HCBS settings compliance language.

This SPA elects the Individuals Eligible for Family Planning Services (“Family Planning”) eligibility group and elect to add Presumptive Eligibility (PE) for the Family Planning eligibility group.

This amendment proposes to exempt children with non-Title IV-E adoption assistance under age 21 and individuals under age 21 with an income above 133% of the federal poverty level from the PCCM program.

Cover adult vaccine administration in accordance with Advisory Committee on Immunization Practices (ACIP) recommendations, in compliance with guidance on mandatory vaccine coverage and administration for adults in alignment with ACIP.

This State Plan Amendment (SPA) proposes to increase payment up to Medicare benchmark for most medical professional, non-institutional items and services.

This plan amendment updates the methods and standards used to determine the rates of Hearing Services.

With this SPA the state expands eligibility to individuals under age 21 who are under a state-only funded adoption assistance agreement, and to confirm the scope of coverage under the state plan for certain reasonable classifications of children.

This SPA is to amend the provisions governing Targeted Case Management (TCM) under the New Opportunities Waiver (NOW), Early and Periodic Screening, Diagnostic and Treatment (EPSDT), and EarlySteps programs in order the clarify language and ensure the requirements for TCM services are accurately reflected throughout the State Plan.