Medicaid State Plan Amendments

This plan amendment updates the rate methodology for acute psychiatric inpatient hospital services furnished by Short Doyle/Medi-Cal hospitals and Fee-For-Service/Medi- Cal hospitals, effective December 12, 2023.

This plan amendment updates the rate setting methodology for freestanding pediatric subacute facilities, effective August 1, 2021.

This amendment revises the premium requirements for Medicaid Purchase Plan (MAPP) members to include lowering the monthly premium.

This Amendment in which the state disregards Tribal General Welfare Assistance (GWA) in determining financial eligibility for certain non-MAGI eligibility groups.

This amendment authorizes the state to enter into value based supplemental drug rebate agreements.

This plan amendment updates the payment methodology for personal care services provided by Private Non-Medical Institutions (PNMIs) on remote islands.

Revises the state plan to update the interagency agreement summaries with the Ohio Department of Health and the Ohio Department of Aging.

This amendment is to add Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs) to the list of professions that are accepted as Medicaid providers for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) as required by the Consolidated Appropriations Act 2023.

This amendment is to amend the provisions governing the Professional Services program in order to align with current practices.

This amendment is to add services provided by Associate Professional Clinical Counselors, under the supervision of a licensed billable practitioner, to the list of covered services for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Tribal FQHCs.