Medicaid State Plan Amendments

This amendment was submitted to implement Maine's new preventative Medicaid National Diabetes Prevention Program.

This amendment changes to provider qualifications for Community Mental Health Centers (CMHCs).

The purpose of this SPA is to implement administrative changes to prepare for PACE expansion.

This amendment authorizes additional provider types the Oregon state plan to include Licensed School Psychologist, Licensed School Social Worker and Licensed School Counselor as Medicaid allowable providers for services provided in the school setting.

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

This amendment proposes to align the limitations on non-covered medical expenses with the current Medicaid coverage and benefits.

This SPA updates language in the State Plan Pages regarding the composition of the Drug Utilization Review Board.

The purpose of this SPA is to incorporate updates that were made in previously approved SPA WA-23-0010 to the service names and practitioners related to rehabilitative services that are delivered using a managed care delivery system. In addition, SPA WA-23-0051 corrects page number references and adds practitioner types to align with practitioners that have been added to the Other Licensed Practitioners section of the State Plan since the Managed Care section was last updated.

To disregard refunds issued by the state to individuals who incurred Medicare-related premiums, deductibles, and co-payments as a result of not having been enrolled in the appropriate Medicare Savings Program eligibility group.

Adds language specifically stating that for beneficiaries under 21 years of age, there are no limits for medically necessary home health nursing services, medically necessary home health aide services, medically necessary home health physical therapy, occupational therapy, speech pathology and audiology services.