Medicaid State Plan Amendments

The state raises the income eligibility standard for its Family Planning eligibility group from 133 percent of the federal poverty level (FPL) to 205 percent.

The proposed amendment documents coverage of COVID-19 tests as a benefit in Texas Medicaid, including at-home tests provided through a pharmacy.

This transmittal is being submitted to reflect that client related GME is not included in the MCO capitation.

Revises the inpatient hospital base rate methodology.

This Medicaid State Plan amendment complies with Section 11405 of the Inflation Reduction Act (IRA) aligning the new mandatory coverage of Medicaid adult vaccinations and the administration of the vaccines without cost-sharing.

This amendment is to update the standard Alternative Benefit Plan (ABP) to add doula services.

This amendment is to update the care plus Alternative Benefit Plan (ABP) to add doula services.

This amendment increases the personal needs allowance for individual Medicaid recipients institutionalized from $30 to $70 and from $60 to $140 for married couples.

This amendment proposes to continue provisions previously approved through disaster relief SPAs.

1. The addition of diagnosis-related groups and a new disproportionate share hospital (DSH) category; and
2. Removal of outdated language, grammar revisions, and updated organization structure.