Medicaid State Plan Amendments

This amendment is to add Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) to the FQHC and RHC sections of its Medicaid State Plan to be in compliance with CAA 2023.

This SPA provides assurance in Attachment D that the benefit package provided for all individuals through the postpartum extension complies with section 1937 of the Act, including the provision of essential health benefits (EHBs) and that no treatment limitations that are more restrictive than the Alternative Benefit Plan (ABP).

This amendment is to add rural emergency hospital clinics as a Medicaid provider.

This plan amendment updates rates for Personal Care Services.

This plan amendment adds a rate enhancement related to work experience for 1915(k) Community First Services and Supports (CFSS).

This plan amendment adds a rate enhancement related to work experience for 1915(i) Community First Services and Supports (CFSS).

This plan amendment updated the effective date of the fee schedules for Home and Community Based Services (HCBS).

This amendment changes to state plan coverage of other licensed practitioner services to include licensed mental health therapists, licensed social service workers, licensed substance use disorder counselors, and licensed behavioral health coaches.

This amendment authorization is for Health First Colorado to obtain reimbursement for Partial Hospitalization services as defined by the American Society of Addiction Medicine’s 2.5 standards.

This amendment is to establish provisions governing Rural Emergency Hospitals (REH’s).