This Amendment provides Continuous Eligibility for Children.

This amendment abolishes copayments for Medicaid fee-for-service beneficiaries within the state.

This amendment allows Alternative Benefit Plan (ABP) coverage of a primary care case management program (PCCM) for pregnant individuals and of adult vaccinations and their administration without cost sharing in order to align with the South Dakota State Plan.

This SPA updates the state’s non-alignment alternative benefit plan (ABP) for Medicaid expansion individuals ages 19-20 to remove the WHODAS assessment scores from the 1915(i) language and to remove the PCCM service delivery model.

This SPA updates the state’s non-alignment alternative benefit plan (ABP) for Medicaid expansion individuals ages 21-64 to remove the WHODAS assessment scores from the 1915(i) language.

This Amendment align with Section 5112 of the Consolidated Appropriations Act (CAA, 2023), which requires that state provide 12 months of continuous eligibility (CE) for children under the age of 19 in Medicaid and the Children's Health Insurance Program (CHIP).

This amendment is to remove the Targeted Case Management program for clients with poorly controlled asthma or a history of environmentally induced respiratory distress from the state plan as the program ended on July 1, 2023.