This plan amendment updates the Ambulatory Withdrawal Management without Extended On-Site Monitoring (Ambulatory Detoxification) 1WM.

This plan amendment modifies the Inpatient Hospital State Plan to remove per-hospital cap of $541,386 on payments per state fiscal year to support new graduate medical education residents.

This amendment is to align the Alternative Benefit Plan with the Medicaid state plan by adding Medication Therapy Management (MTM) under Pharmacist Services.

This amendment is to align the Alternative Benefit Plan with the Medicaid state plan by allowing physician assistants, nurse practitioners, and clinical nurse specialists, in addition to physicians, to order home health services, including durable medical equipment and medical supplies.

The state is amending the Community First Choice (CFC) program to add six years of professional/practical social service experience performing functions equivalent to a Social Service Specialist 2 as a qualification for individuals performing evaluations/assessments for CFC services.

This SPA adds home health and hospice services for adults and updates the language under the Other Licensed Practitioners benefit. Additionally, the state clarified that benefits for the medically needy are the same as those for the categorically needy.

This amendment establishes coverage and payment provisions for preventive services provided by doulas and lactation consultants under the state plan.