Medicaid State Plan Amendments

This SPA provides twelve months of continuous eligibility for children.

The amendment documents coverage of COVID-19 vaccines and administration of the vaccines for children under the age of 21.

This SPA provides Alaska with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program and increases the income eligibility for pregnant individuals up to 225 percent of the FPL.

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

This amendment complies with the federal requirement that the state implement a tracking system that ensures that cost sharing and premiums of a Medicaid beneficiary will not exceed five percent of the family income.

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