This SPA establishes the benefits and services that will serve as the Alternative Benefit Package (ABP) that will be available to Oklahoma’s adult group. Oklahoma’s ABP for the adult group will include the same services that are traditionally available to categorically needy individuals under the state’s approved State plan. The population group for this ABP includes only the adult group.
 

This SPA describes the methodology used by the state for determining the appropriate FMAP rate, including any increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with adult group enrollees adopted by the state in SPA 21-0001.

This SPA establishes the adult group described in Section 1902(a)(10)(A)(VIII) of the Act and Title 42 of the Code of Federal Regulations (CFR) §435.119 will be added to the state plan, effective July 1, 2021.

Nursing Facility rates

Removes the face-to-face requirement for community mental health center providers.

remove the restriction on providers who can enroll to render Targeted Case Management (TCM) for individuals with a Serious Mental Illness (SMI) or Serious
Emotional Disturbance (SED).

Allows required home visits to be conducted remotely for PCA Supervisors.