The purpose of this SPA is to provide governing long-term personal care services (LT-PCS) in order to update and remove obsolete terminology and to ensure that consistent language is used.

This amendment is to update the coverage provisions concerning extended services for pregnant women to align with the expansion of post-partum coverage approved in SPA 22-0008.

This SPA updated the reimbursement methodology for hospice services when quality data is not submitted by a provider.

This plan amendment implements a 4% rate increase for the Developmental Disabilities Administration Targeted Case Management (DDA TCM) program.