Medicaid State Plan Amendments

This state plan amendment will supersede SPA ND-23-0020 and updates reimbursement for in-state PPS outpatient hospital services to the Enhanced Ambulatory Patient Group (EAPG) payment system.

This amendment proposes to assure coverage of adult vaccines per the Inflation Reduction Act and coverage of preventive services.

This SPA updates Illinois' Medicaid State Plan to comply with third party liability (TPL) requirements authorized under the Bipartisan Budget Act of 2018 and the Consolidated Appropriations Act of 2021.

This plan amendment to update rates for Mental Health Rehabilitative Services and Adult Substance Use Rehabilitative Services.

This plan amendment adds authority for the state to negotiate higher reimbursement rates with certain out of state providers.

This plan amendment authorizes the Department to make an additional payment to nonpublic and county nursing facilities that qualified for supplemental ventilator care and tracheostomy care payments in a city of the first class.

State is reducing the income eligibility standard for certain pregnant women and infants.

This SPA is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Alaska's state plan, and make related changes to other eligibility groups covered under its state plan.

This Amendment makes conforming changes to the Medicaid State Plan to modify 12-month continuous eligibility policies for children.

This SPA amends the State Plan to allow the State to enter into value-based contract arrangements with drug manufacturers through supplemental rebate agreements.