Medicaid State Plan Amendments

The proposed amendment updates the physicians’ and other practitioners’ program fee schedule.

This amendment is to remove the Targeted Case Management program for clients with poorly controlled asthma or a history of environmentally induced respiratory distress from the state plan as the program ended on July 1, 2023.

This SPA updates the state’s non-alignment alternative benefit plan (ABP) for Medicaid expansion individuals ages 21-64 to remove the WHODAS assessment scores from the 1915(i) language.

This SPA updates the state’s non-alignment alternative benefit plan (ABP) for Medicaid expansion individuals ages 19-20 to remove the WHODAS assessment scores from the 1915(i) language and to remove the PCCM service delivery model.

This Amendment provides Continuous Eligibility for Children.

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.

This SPA is to amend 1915(k) Community First Choice (CFC) benefit.

To increase the income standard for its Ticket to Work Basic eligibility group and disregard “Work Incentive Accounts” in determining resource eligibility for certain non-MAGI eligibility groups.
 

This amendment adds enhanced mobile crisis services to the Medicaid state plan.

This Amendment align with Section 5112 of the Consolidated Appropriations Act (CAA, 2023), which requires that state provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid and the Children's Health Insurance Program (CHIP).