Medicaid State Plan Amendments

Nursing Facility MQIP for dates of service October through December 2023

The purpose of this amendment is to comply with Section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023) amended Titles XIX to require that states provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid.

This amendment provides assurances in Attachment 4.22-B related to third party liability, under the Consolidated Appropriations Act of 2022. In addition, the state is restoring a statement related to long term care insurance, originally approved under SPA 09-001, but was missing from the submission of page 3 under previously-approved SPA 22-0015.

This amendment allows the Division of Medicaid to comply with the Inflation Reduction Act (IRA) requirement to attest to the coverage of all Advisory Committee on Immunization Practices recommended vaccines and their administration.

The purpose of this SPA is to revise the provisions governing Outpatient Hospital Services in order to establish quarterly supplemental payments for certain public non-state small rural hospitals located in administrative region 3 that render qualifying services during the quarter.

Amends the State Plan to implement a three percent inflationary increase for Psychiatric Residential Treatment Facility Services.

Amends the State Plan to implement a value-based purchasing program for in-state PPS hospitals.

This State Plan Amendment (SPA) proposes to makes changes to the Medicaid State Plan to establish Medicaid reimbursement rates for applied behavior analysis (ABA) therapy services.

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.