Medicaid State Plan Amendments

This state plan amendment aligns payment for certain prescription drugs with Medicare Part B.

This amendment proposes to add Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Foster Care.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Health Services.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Habilitation Services.

This amendment proposes to consolidate Registered Nurse (RN) and Licensed Practical Nurse (LPN) services into one consolidated nursing service and revises policy for reimbursement to family members under the Early and Periodic Screening Diagnosis and Treatment (EPSDT) benefit.

This SPA implements the five-percent inflationary increase to the Health Home Per Member Per Month and Clinical outcome measure payment rates appropriated by its state legislature during the 2023 legislative session

On August 1, 2023, the Centers for Medicare and Medicaid services (CMS) received Missouri State Plan Amendment(SPA) MO-23-0014 to increase the Care Coordination component of the Primary Care Health Home Per-Member-Per-Month rate.

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

This amendment proposes to include coverage for blood pressure monitors with an effective date of July 1, 2023.