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 SPA amendment is to update the organization and administration of the State Medicaid Agency and reflects internal organizational change.

To provide Doula services as separately reimbursed pregnancy-related services.

To comply with the current law and revise the Medicaid State Plan to align with the Consolidated Appropriations Act of 2022 and Senate Bill 220 of the 152nd Delaware General Assembly.

Memorialize changes made during the COVID-19 Public Health Emergency to the My Health GPS Health Home Program. Modifications to the My Health GPS Program include changes to staffing ratios, provider payment reimbursement methodologies, and administering the needs assessment portion of a beneficiary's level of care review.

Revises the state plan to allow an incentive payment for coverage of private rooms in nursing facilities when specific facility criteria are met.

To update reimbursement methodology for Rehabilitation Day Services and Psychosocial Rehabilitation (Clubhouse) Services. To add screening, as a new service under the Mental Health Rehabilitative Services benefit. To rename Community Based Intervention Level 1, Multisystemic Therapy. To add a new service, Attachment and Biobehavioral Catchup, as a preventive service. To update the structure of Methadone Services in Opioid Treatment Programs.

With this amendment, the state will permanently adopt COVID-19 PHE flexibilities; and add Remote Supports & Host Home Service modalities to align with the state's 1915(c) HCBS waivers.