Medicaid State Plan Amendments

The purpose is to updates the services payable in addition to the Administrative Day rate.

To memorialize the new income standards for its optional state supplement program, beneficiaries of which are eligible for Medicaid under the state's plan.

This amendment adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.

The SPA allows reimbursement at the all-inclusive rate on a per-prescription basis for payment to Indian health facilities.

This State Plan Amendment (SPA) proposes to increase the rate methodology for the 1915(i) State Plan Home and Community-Based benefit for youth with mental illness (Child Mental Health Wraparound (CMHW)).

This SPA proposes to update the language on the state’s excluded drug list on the Pharmacy state plan coverage pages.

This amendment adds community-based palliative care as a service under the home health benefit.

With this Plan the state add to its state plan additional income and resource disregards under section 1902(r)(2) of the Social Security Act.

This MD Behavioral Health, Health home SPA increases provider rates by 3 percent pursuant to its passed state Senate/House bill for its 2024 state budget

State Plan Amendment (SPA) 23-0032 allows the Division of Medicaid (DOM) to update reimbursement of dental services provided in an ambulatory surgical center (ASC). For ASC dental services that do not have a fee on the Medicare ASC Fee Schedule, effective December 1, 2023, the SPA will allow ASC’s to be reimbursed at eighty percent (80%) of the Medicare rate that was in effect January 1, 2023, for the most comparable hospital outpatient service.