This plan makes several updates under the physician and audiology services.

provides Graduate Medical Education payment pools for new programs or expanded positions that began on or after July 1, 2020.

authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A and 4 payments, for the DSH state plan rate year ending 2022.

The purpose of this state plan amendment is to add Community-Based Care Management (CBCM) Services by Opioid Use Disorder Centers of Excellence (COEs).

Effective January 1, 2022 this SPA updates the CarePlus Alternative Benefit Plan (ABP) State Plan confirm coverage of routine patient costs for services furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials.

Effective January 1, 2022 this SPA updates the Standard Alternative Benefit Plan (ABP) State Plan confirm coverage of routine patient costs for services furnished in connection with participation by Medicaid beneficiaries in qualifying clinical trials.

This SPA update Third Party Liability (TPL) requirements as authorized under the Bipartisan Budget Act (BBA) of 2018 (Pub. L. 115- 123) and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019 (Pub. L. 116-16).

New Hampshire clarifies that the state appropriately covers and pays for routine patient costs of items and services for beneficiaries enrolled in qualifying clinical trials, as newly required under amendments made by Section 210 of the CAA. NH provides coverage for these costs already—no new items or services are being covered, and no payment methodologies are being changed.