Medicaid State Plan Amendments

This Amendment adds 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.

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.

This amendment will add back into the plan the language for Community Health Workers (CHWs) erroneously left off the NV-23-0016 SPA approval, which adds CHWs as providers under the preventive services benefit.

This plan amendment proposes an update to clarify eligible staff and steps for total reimbursement of School Based Services

This plan continues outpatient hospital supplemental payments and authorizes a new supplemental payment for physicians.

This SPA reflects updates to language around service labels, assessment tools, provider qualifications, reporting and management systems to align with the 1915( c) waivers, as well as a shift of Parent Support Partner (PSP) Services from the 1915(i). PSP services will be authorized in State Plan EPSDT.

Expands the settings to which an ambulance provider may transport a Medicaid beneficiary for emergency care in accordance with state law.
 

The purpose of this SPA is to limit the number of managed care plans in the Healthy Connections managed care program to no less than two and no more than four based on analyses of projected enrollees.

This plan amendment proposes a specified increase of 3.25 percent to reimbursement rates for intermediate care facilities for the intellectually disabled) (ICF/ID).