This SPA proposes to suspend the Medicaid Recovery Audit Contractor Program, a requirement in section 1902(a)(42)(B)(i) of the Social Security Act, for a two-year period because ninety-seven percent of Medicaid beneficiaries participate in managed care.

This amendment is to require a Prescribed Pediatric Extended Case Center (PPECC) to provide transportation to a recipient when the recipient’s physician determines the recipient is stable to receive transportation services and the parent or legal guardian wants the recipient to receive transportation services.

This amendment is to extend coverage of pregnancy-related services, including extended pregnancy-related services from 60 days to 12 months because of the passage of Senate bill 232 during the 82^nd^ Legislative session (2023) and is consistent with Nevada’s extension of the postpartum eligibility period to 12 months.

The District is seeking to sustain requests approved in their Temporary Extension to the Medicaid Disaster Relief COVID-19 National Emergency SPA #23-0004, which expires on May 11, 2024, by adding its language to the permanent Housing Supportive Services (HSS) 1915(i) Home and Community-Based Services SPA.

Update its Medically Needy resource levels.

This Amendment provides 12 months continuous eligibility for children under the age of 19 in all mandatory and optional eligibility groups (excluding Medically Needy).

Updates the state plan language referenced in the section, Other Licensed Providers. The SPA removes the reference to ophthalmologists, as these are physicians and are covered under the Physician Services section of the state plan, clarifies that optometrists and opticians are licensed providers and lists each type of other licensed provider that can enroll with the Virginia Department of Medical Assistance Services.

This SPA updates Idaho's Basic Alternative Benefit Plan to update three existing benefits: Targeted Case Management for At-Risk Children; Community-Based Rehabilitation Services for Adults; and Community-Based Rehabilitation Services for Children.