Medicaid State Plan Amendments

This SPA allows Maryland to cover select imported drugs due to shortages identified by the Food and Drug Administration, as well as to provide the reimbursement methodology for select prescribed drugs.

This amendment proposes adds adult dental benefits to the STEPS Alternative Benefit Plan (ABP) due to the expanded dental services in the Kansas Medicaid Plan.

This amendment adds adult dental benefits to the Working Healthy Alternative Benefit Plan (ABP) population due to the expanded dental services in the Kansas Medicaid Plan.

This amendment proposes to allow the Division of Medicaid to request an exemption from the federal requirement to contract with a Recovery Audit Contractor.

To update the Alternative Benefit Plan (ABP) to move specified behavioral health services provided by clinics to the rehabilitative services benefit category.

This plan amendment discontinues certain supplemental payments included in PA SPA 23-0017.

This plan amendment updates the rate methodology for the 1915 Home and Community Based Services (HCBS) Community Mental Health Wraparound (CMHW) services to align with other HCBS program methodology.

This amendment allows the Division of Medicaid to include coverage of home health services provided by a licensed practical nurse under the supervision of a registered nurse.

This amendment proposes to bring the South Carolina Medicaid State Plan into compliance with the Third Party Liability federal requirements reflected in the current state law.

This Amendment will adopt the 12-month continuous eligibility mandate for children, as enacted by Section 5112 of the Consolidated Appropriations Act of 2023.