This State Plan Amendment updates the bundled composite rate for services provided in outpatient maintenance dialysis clinics.

This amendment adds local county agencies as qualified providers to deliver Targeted Case Management (TCM) services to adults with serious mental illness.

This SPA provides temporary rate adjustments for long term care providers who are undergoing closures, mergers, consolidations, acquisitions, or restructuring themselves.

Substance Using Pregnant People - name change from Chemically Using Pregnant Women

To continue the 1915(k) rate model approved in the Disaster relief SPA 22-0022 past the PHE period.