Medicaid State Plan Amendments

To remove cost sharing requirements from the state plan.

This amendment is to establish coverage of dentures and partials for adults who meet medical necessity criteria.

This amendment allows occupational therapy assistants, physical therapy assistants, and speech language pathology assistants to enroll as MO HealthNet providers and bill for covered services provided to eligible MO HealthNet participants.

This SPA provides traditional state plan authority for the FY2022 and FY2023 rate setting methodology established in DR SPA 21-0015, DR SPA 22-0013, and DR SPA 23-0007. This is necessary to complete the final rate settlements for each fiscal year.

CMS is issuing this technical correction package to include the final submitted revision to Section IV Page 27. CMS included an earlier version that did not describe which cost report is used in the absence of the state plan defined cost report.

This plan updates Critical Access Hospital Supplemental Access Payments (Outpatient).

This amendment updates the Alternative Benefit Plan authority for adult day health care and habilitation services.

This SPA updates the fee schedule effective dates for several Medicaid programs and services.

This transmittal is being submitted to continue the APM provisions approved in the Disaster relief SPA 23-0001 past the PHE period.

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to temporarily extend the suspension of behavioral health prior/service authorizations for one year after the end of the COVID-19 Public Health Emergency (PHE). This extension was authorized under the authority of an 1135 blanket waiver on 4.2.20. The TE extension is necessary to aid Alaska's return to routine operations.

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend the disaster relief provisions governing preventive services in order to reimburse ambulance service providers who provide allowable services on site, without transport, while under the supervision of a licensed physician.