Medicaid State Plan Amendments

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)).

Attached for your review and approval is the Original Submission of NY SPA 22-0056 (ELIMINATE 1.5% NH RATE REDUCTION), along with evidence of tribal consultation

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

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

To update Community Care of North Carolina (CCNC) program eligibility criteria to indicate that if a primary care case management entity (PCCMe) member opts into the Tailored Care Management Health Homes benefit, the member will be disenrolled from the PCCMe program to avoid duplication of services.

This amendment is to create a new clinic type under Special Clinics for providers who treat children under the age of 21 with cancer and other rare diseases.