Medicaid State Plan Amendments

Technical change to align with New York statute, which allows residents of Adult Care Facilities to receive both Hospice and Assisted Living Program services without having to disenroll from either, was originally approved on February 26, 2025.

For NYS CCO/HHs Serving Individuals with I/DD to assure compliance to submit annual mandatory Health Home core set reporting for the State of New York. This reporting includes all quality measure data for the Health Home Core Set measures.

This amendment is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

This amendment proposes to extend the current exemption to the Recovery Audit Contractors (RACs) requirement to have a vendor that identifies and corrects improper Medicaid payments through the collection of overpayments and reimbursement of underpayments.

This amendment updates the allowance for personal needs for institutionalized individuals and couples.

This amendment amends the provisions governing opioid treatment programs in order to expand the types of eligible practitioners who can treat individuals and prescribe medications in medication-assisted treatment (MAT).

This SPA will update the PACE Rate methodology to amend the Amount Would Otherwise Have Been Paid (AWOP) methodology.

This amendment makes changes to provider qualifications for Child and Family Psychoeducation, Early Intensive Developmental and Behavioral Intervention (EIDBI), Mental Health Services, and Adult Rehabilitative Mental Health Services (ARMHS).

This SPA provides Idaho with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

This plan amendment creates a reimbursement methodology for supplemental payment for ground emergency medical transportation services.