This plan amendment adds a Chronic Condition Episode-Based Incentive payment to Alternative Payment Methodology (APM) 1 and APM 2.

This plan proposes to update the minimum wage for Assisted Living Program (ALP) Rates.

This plan proposes to update the minimum wage for Hospice Services rates.

This plan provides supplemental payments to support Adult Day Health Care and AIDS Adult Day Health Care program sites.

This plan implements a continuation of minimum wage adjustments for freestanding Federally Qualified Health Centers.

This amendment will bring the Alternative Benefit Plan (ABP) into alignment with changes that have already been in the Medicaid State Plan.

This amendment clarifies the assurance that Guam provides EPSDT services pursuant to sections 1902(a)(10)(A), 1905(a)(4)(B), and 1905(r) of the Social Security Act.

This SPA implements coverage of the new mandatory benefits of COVID-19 Vaccines and Administration of the Vaccines, Diagnostic and Screening Tests, and Treatment, Specialized Equipment and Therapies, and Preventive Therapies by the requirements of Section 9811 of the American Rescue Plan (ARP) Act.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to implement a one-time provider relief payment to dialysis centers. These payments are not a component of the HCBS ARP spending plan.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to add coverage for AMH (MCO) medical home fees are payable to the following providers: Physician, Physician group practice, Advance Practice Midwife, Nurse Practitioner, and Physician Assistant.