This Amendment memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Wisconsin's state plan.

To technically correct the plan to add back approved language erroneously dropped from the approved SPA 19-0003 and carried forward to approved SPA 22-0043.

Adds licensed professional counselors and licensed marriage and family therapists to the core services proved by Federally Qualified Health Centers and Rural Health Clinics. The amendment also added pharmacists and licensed dietician-nutritionists to the list of other ambulatory services offered by Federally Qualified Health Centers and Rural Health Clinics.

To correct the typographical errors located in boxes 7 and 8 of CMS Fo1m 179 for Medicaid PACE SPA MD-23-0001.

To correct the typographical errors located in boxes 7 and 8 of CMS Form 179 for the Medicaid PACE SPA MD-23-0015.

This amendment updates language for excluded drugs covered by SCDHHS including weight loss medicine, prescription vitamins & minerals and OTC drugs.

This plan amendment updates the updates the payment methodology for state plan Certified Community Behavioral Health Clinics (CCBHCs).

Move authority for the Tribal Health Improvement Program (T-HIP) from a 1915(b) waiver to a 1932(a) SPA, while further aligning the program design with primary care case management entity requirements found in 42 CFR § 438.2.