Medicaid State Plan Amendments

To add coverage and payment provisions for Psychiatric Residential Treatment Facility services to the Medicaid State Plan to meet the needs for Ohio's youth.

This amendment provides authority to recognize Community Health Workers (CHWs) as Medicaid providers of necessary CHW services.

This amendment updates the Alternative Benefit Plan to provide authority to recognize Community Health Workers (CHWs) as Medicaid providers of necessary CHW services.

This amendment adds coverage and reimbursement of pharmacists as providers, and to authorize pharmacy technicians and interns to administer vaccines.

This plan amendment updates the reimbursement methodology for specific physician’s services, evaluation and management of established patients to 82 % of the 2019 Medicare Physician Fee Schedule.

We have reviewed the proposed Rhode Island State Plan Amendment (SPA) to Attachment 4.19- B, RI-23-0007, which was submitted to the Centers for Medicare & Medicaid Services (CMS) on August 15, 2023 to extend a temporary rate increase to providers of First Connections services to increase Children's Group home rate.

This plan amendment updates requirements for Inter-professional Consultations (eConsults).

This amendment proposes to add targeted case management coverage for the Sustained Family Support Home Visiting Program using the evidence-based home visiting model, Parents as Teachers (PAT).

This plan updates rates and methodology for Family Centered Early Supports and Services.

This state plan amendment clarifies coverage of crisis intervention services and service rates.