This amendment establishes compliance with mandatory Medicaid coverage and reimbursement of routine patient costs furnished in connection with participation in qualifying clinical trials in the Alternative Benefit Plan.

New Hampshire State Plan Amendment (SPA) NH-22-0001 to increase the standards for its optional state supplementary program.

Rhode Island State Plan Amendment (SPA) RI-22-0003 which proposed to update the state supplementary payment eligibility standards and the medically needy income limit.

Calculation of state supplemental pharmacy rebate amounts in accordance with the National Medical Pooling Initiative (NMPI). This change will allow Nevada to receive additional supplemental rebate amounts and generate savings for the state.

RI is seeking federal authority to add coverage of Doula services to support pregnant individuals, improve birth outcomes, and support new mothers and families with culturally specific antepartum, intrapartum, and postpartum services.

This SPA provides California with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in Medicaid program.

This SPA provides Kentucky with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in Medicaid program.

This SPA provides Oregon with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in Medicaid program.