State Plan Amendments and 1115 Waiver Changes State Plan Amendments and 1115 Waiver Changes The State Plan and the 1115 Medicaid Waiver provide the legal authority required under federal law to operate the Medicaid program. For more information, see Medicaid State Plan and 1115 Waiver. Public Notice Notice of Public Hearing 8.18.20 Proposed SPA or 1115 Waiver Changes SPA Amendments Core Set Reporting Notice to Public Notice Date: 11/18/24 Proposed Effective Date: 10/1/24 RAC Exemption Notice to Public Notice Date: 11/18/24 Proposed Effective Date: 10/1/24 Outpatient Facility Fees Notice to Public Date of Public Notice: 9/27/24 Proposed Effective Date: 10/1/24 OHIC Rate Review – Integrated Health Homes Notice to Public Date of Public Notice: 8/14/24 Proposed Effective Date: 10/1/24 TBI Payment Methodology Notice to Public Date of Public Notice: 8/14/24 Proposed Effective Date: 8/15/24 OHIC Rate Review – Attachment 4.19-B Notice to Public Notice of Public Hearing Response to Public Comments Date of Public Notice: 7/31/24 Proposed Effective Date: 10/1/24 OHIC Rate Review – Family Home Visiting Notice to Public Date of Public Notice: 7/31/24 Proposed Effective Date: 10/1/24 OHIC Rate Review - CEDAR Notice to Public Date of Public Notice: 7/31/24 Proposed Effective Date: 10/1/24 First Connections Notice to Public Date of Public Notice: 6/27/24 Proposed Effective Date: 7/1/24 Chiropractors’ Services Notice to Public Date of Public Notice: 6/27/24 Proposed Effective Date: 7/1/24 Ambulatory Service Centers Notice to Public Date of Public Notice: 6/27/24 Proposed Effective Date: 7/1/24 CHIP SPA – Vaccine Attestation Notice to Public Date of Public Notice: 2/26/24 Proposed Effective Date: 10/1/23 Continuous Eligibility for Children Notice to Public Date of Public Notice: 2/26/24 Proposed Effective Date: 1/1/24 Certified Community Behavioral Health Clinics Revised Notice to Public Notice to Public Date of Revised Public Notice: 1/24/2024 Date of Public Notice: 10/23/2023 Proposed Effective Date: 7/1/2024 Annual MNIL/Spousal Impoverishment Update Notice to Public Date of Public Notice: 1/9/24 Proposed Effective Date: 1/1/24 DD Professional Rates Notice to Public Date of Public Notice: 12/28/23 Proposed Effective Date: 1/1/24 E-MHPRR Revised Notice to Public Notice to Public Date of Public Notice: 12/8/23 Proposed Effective Date: 12/9/23 DSH Policy Notice to Public Date of Public Notice: 12/4/23 Proposed Effective Date: 1/1/24 Vaccine Attestation Notice to Public Date of Public Notice: 11/22/2023 Proposed Effective Date: 10/1/2023 Clinician’s Services Notice to Public Date of Public Notice: 11/10/2023 Proposed Effective Date: 10/1/2023 Ticket to Work Eligibility Group Notice to Public Date of Public Notice: 10/26/2023 Proposed Effective Date: 10/1/2024 Community-based Group Homes for Children and Youth with Intellectual/Developmental Disabilities Rate Increase Notice to Public Date of Public Notice: 7/20/2023 Proposed Effective Date: 7/21/2023 Personal Needs Allowance Increase Notice to Public Date of Public Notice: 6/27/2023 Proposed Effective Date: 7/1/2023 Cedar Family Centers Rate Increase Notice to Public Date of Public Notice: 6/27/2023 Proposed Effective Date: 7/1/2023 First Connections Temporary Rate Increase Extension Notice to Public Date of Public Notice: 6/13/2023 Proposed Effective Date: 7/1/2023 Medicare Premium Payment Program Notice to Public Date of Public Notice: 5/30/23 Proposed Effective Date: 4/1/23 Medically Needy Income Limits and State Supplemental Payments Notice To Public Date of Public Notice: 2/2/23 Proposed Effective Date: 1/1/23 Nursing Facility Rate Methodology Notice to Public Date of Public Notice: 12/12/2022 Proposed Effective Date: 1/1/2023 Waiver of Signature Requirements for Dispensing of Drugs Notice to Public Date of Public Notice: 11/18/22 Proposed Effective Date: the start of the Public Health Emergency (PHE) Emergency Case Management Extension Notice to Public Date of Public Notice: 11/18/22 Proposed Effective Date: the end of the Public Health Emergency (PHE) RIte Smiles for Adults Notice to Public Date of Public Notice: 11/18/22 Proposed Effective Date: the end of the Public Health Emergency (PHE) Cover All Kids Notice to Public Date of Public Notice: 10/20/22 Proposed Effective Date: 7/01/22 Nursing Facility Rate Increase Notice to Public Date of Public Notice: 9/22/22 Proposed Effective Date: 10/1/22 Nursing Facility Add-on Rate Notice to Public Date of Public Notice: 9/22/22 Proposed Effective Date: 1/1/23 Community-Based Group Homes for Children and Youth with Intellectual/Developmental Disabilities Rate Increase Notice to Public Date of Public Notice: 9/22/22 Proposed Effective Date: 10/1/22 12 Months Postpartum Coverage Notice to Public Date of Public Notice: 9/8/22 Proposed Effective Date: 10/1/22 Parents as Teachers Program Notice to Public Date of Public Notice: 8/29/22 Proposed Effective Date: 10/1/22 Recovery Audit Contractors (RAC) Exemption Notice to Public Date of Public Notice: 8/4/22 Proposed Effective Date: 8/5/22 MHPRR High Intensity Tier Enhancement Notice to Public Date of Public Notice: 7/18/22 Proposed Effective Date: 7/19/22 Inpatient Hospital Rate Increase Notice to Public Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 Outpatient Hospital Rate Increase Notice to Public Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 Inpatient UPL Update Notice to Public Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 Outpatient UPL Update Notice to Public Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 Adult Dental Rate Increase Notice to Public Response to Public Comments Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 Home Health Agency (Home Care) Rate Increase Notice to Public Response to Public Comments Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 First Connections eFMAP Temporary Rate Increase Notice to Public Date of Public Notice: 6/30/22 Proposed Effective Date: 7/1/22 COVID Vaccine, Testing, Treatment-CHIP Notice to Public Date of Public Notice 6/1/22 Proposed Effective Date 3/11/21 COVID Vaccine, Testing, Treatment, Standalone Vaccine Counseling-Medicaid Notice to Public Date of Public Notice 6/1/22 Proposed Effective Date 8/30/21 ARPA PACE Notice to Public Date of Public Notice 6/1/22 Proposed Effective Date 7/1/21 Prenatal First Connections Program Notice to Public Date of Public Notice 4/25/22 Proposed Effective Date 4/1/22 Disaster Relief BHDDH Staffing Waiver Notice to Public Date of Public Notice 3/8/22 Proposed Effective Date 11/1/21 Standards for Optional State Supplementary Payments and Medically Needy Income Limit Notice to Public Date of Public Notice 2/7/22 Proposed Effective Date 1/1/22 Mandatory Coverage of Routine Patient Costs for Services in Connection with Participation in Qualifying Clinical Trials Notice to Public Date of Public Notice 12/31/21 Proposed Effective Date 1/1/22 Adult Behavioral Health Services Temporary Rate Increases Notice to Public Date of Public Notice 11/19/2021 Proposed Effective Date 12/1/2021 Assertive Community Treatment (ACT) Temporary Rate Increases Notice to Public Date of Public Notice 11/19/2021 Proposed Effective Date 12/1/2021 Third Party Liability Requirement Updates Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 11/16/2021 Proposed Effective Date 12/1/2021 Tribal Reimbursement Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 11/16/2021 Proposed Effective Date 12/1/2021 Non-Emergency Medical Transportation (NEMT) Provider and Driver Requirements Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 11/16/2021 Proposed Effective Date 12/1/2021 Bundled Payments and Negotiated Reimbursement Rates for Mobile Dental Services Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 11/16/2021 Proposed Effective Date 12/1/2021 Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID) Payment Methodology Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 11/16/2021 Proposed Effective Date 12/1/2021 Adult Day Health Services Temporary Rate Increase Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 10/29/21 Proposed Effective Date 11/1/21 Home Care Services Temporary Rate Increases Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 10/29/21 Proposed Effective Date 11/1/21 Nursing Home Base Rate Staffing Adjustmen Minimum Staffing Compliance, Wage Pass-Throut,gh Requirements and Payment Methodology Updates Revised Notice to Public Response to Public Comments Public Hearing Transcript Notice of Public Hearing Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Revised Public Notice 12/3/21 Date of Public Notice 9/22/21 Proposed Effective Date 10/1/21 Elimination of Category F Payments Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 9/22/21 Proposed Effective Date 11/1/21 Inpatient Hospital Annual Review and Inflationary Increases Revised Notice to Public Response to Public Comments Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Revised Public Notice 12/3/21 Date of Public Notice 9/22/21 Proposed Effective Date 10/1/21 Outpatient Hospital Annual Review and Inflationary Increases Revised Notice to Public Response to Public Comments Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Revised Public Notice 12/3/21 Date of Public Notice 9/22/21 Proposed Effective Date 10/1/21 Community Health Worker Services Response to Public Comments Response to Public Comments Revised Posting Public Hearing Transcript Notice of Public Hearing Revised Notice to Public - September 27, 2021 Notice to Public (English) Revised Notice to Public (Spanish) Notice to Public (Spanish) Revised Notice to Public (Portuguese) Notice to Public (Portuguese) Date of Public Notice 6/29/21 Proposed Effective Date 7/1/21 Elimination of Graduate Medical Education (GME) Payments Notice to Public (English) Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 6/29/21 Proposed Effective Date 7/1/21 Home Care Rate Increases and Enhancements Notice to Public (English) Notice to Public (Spanish) Notice to Public (Portuguese) Responses to Public Comments Date of Public Notice 6/29/21 Proposed Effective Date 7/1/21 & 1/1/22 Hospice Rate Annual Increase Revision Notice to Public (English) Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 6/29/21 Proposed Effective Date 7/1/21 Inpatient Hospital Supplemental Payment Notice to Public (English) Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 6/29/21 Proposed Effective Date 7/1/21 Doula Services Response to Public Comments Presentation for Public Meeting on Doula SPA - July 15, 2021 Agenda for Public Meeting on Doula SPA – July 15, 2021 Minutes for Public Meeting on Doula SPA - July 15, 2021 Revised Notice to Public - September 27, 2021 Notice to Public (English) Revised Notice to Public (Spanish) Notice to Public (Spanish) Revised Notice to Public (Portuguese) Notice to Public (Portuguese) Date of Public Notice 6/29/21 Proposed Effective Date 7/1/21 Graduate Medical Education Payments Increase Notice to Public (English) Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 3/30/21 Proposed Effective Date 6/1/21 Vaccines and Vaccine Administration Notice to Public (English) Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 3/30/21 Proposed Effective Date 4/1/21 Psychiatric Residential Treatment Facilities (PRTF) Notice to Public Responses to Public Comments Date of Public Notice 3/30/21 Proposed Effective Date 4/1/21 Medication-Assisted Treatment Notice to Public Date of Public Notice 2/26/21 Proposed Effective Date 10/1/20 Home Equity Limits Notice to Public Date of Public Notice 2/26/21 Proposed Effective Date 1/1/21 Medically Needy Income Limits and State Supplemental Payments Notice to Public Date of Public Notice 2/26/21 Proposed Effective Date 1/1/21 Nursing Facility Rates Notice to Public State Plan Page Public Comment Response to Comment Date of Public Notice 9/30/20 Proposed Effective Date 10/1/20 Doula Services Notice to Public State Plan Benefit Page State Plan Payment Page Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 Outpatient Hospital Supplemental Payment Notice to Public State Plan Page Notice of Public Hearing Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 Outpatient Hospital Rates Notice to Public State Plan Page Notice of Public Hearing Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 Inpatient Hospital Rates Notice to Public State Plan Page Notice of Public Hearing Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 SUPPORT Act Mental Health Service Provisions in CHIP Notice to Public State Plan Page Date of Public Notice 5/26/20 Proposed Effective Date 6/25/20 Recovery Audit Contractors Notice to Public State Plan Page Date of Public Notice 5/26/20 Proposed Effective Date 6/25/20 Eleanor Slater Hospital Notice to Public Date of Public Notice 3/24/20 Proposed Effective Date 3/25/20 Home Equity Limit Notice to Public Date of Public Notice 2/21/20 Proposed Effective Date 1/1/20 Medically Needy Income Limit and State Supplementary Payments Notice to Public Date of Public Notice 2/21/20 Proposed Effective Date 1/1/20 Drug Utilization Review Notice to Public Date of Public Notice 11/18/19 Proposed Effective Date 10/1/19 Hospice Services Notice to Public Date of Public Notice 9/30/19 Proposed Effective Date 10/1/19 Drug Reimbursement Technical Corrections Notice to Public Date of Public Notice 9/10/19 Proposed Effective Date 10/1/19 Utilization Control Notice to Public Date of Public Notice 7/22/19 Proposed Effective Date 7/1/19 In-Patient Hospital Rates Notice to Public Date of Public Notice 6/28/19 Proposed Effective Date 7/1/19 Outpatient Hospital Rates Notice to Public Date of Public Notice 6/28/19 Proposed Effective Date 7/1/19 Nursing Facility Rates Notice to Public Date of Public Notice 6/28/19 Proposed Effective Date 7/1/19 Hospice Rates Notice to Public Date of Public Notice 6/28/19 Proposed Effective Date 7/1/19 In-Patient Hospital Supplement Payment Notice to Public Date of Public Notice 6/28/19 Proposed Effective Date 7/1/19 Graduate Medical Education Notice to Public Date of Public Notice 6/28/19 Proposed Effective Date 7/1/19 Premiums and Cost Sharing Notice to Public Date of Public Notice 5/28/19 Proposed Effective Date 4/1/19 CHIP Managed Care Final Rule Notice to Public Date of Public Notice 5/13/19 Proposed Effective Date 1/1/19 Medically Needy Income Limit and State Supplementary Payments Notice to Public Date of Public Notice 2/26/19 Proposed Effective Date 1/1/19 Home Equity Limit Notice to Public Date of Public Notice 2/26/19 Proposed Effective Date 1/1/19 RIte Share Premium Assistance Program Notice to Public Date of Public Notice 11/20/18 Proposed Effective Date 1/1/19 Pre-Eligible Medical and Remedial Expenses Notice to Public Date of Public Notice 11/18/18 Proposed Effective Date 10/1/18 Adult Day Rate Increase Notice to Public Date of Public Notice 9/28/18 Proposed Effective Date 10/1/18 Assisted Living/Home Care/Hospice Rate Increase Notice to Public Date of Public Notice 9/28/18 Proposed Effective Date 10/1/18 Case Management Target Population Notice to Public Date of Public Notice 9/28/18 Proposed Effective Date 10/1/18 PT, OT and Speech Therapy Benefits Notice to Public Date of Public Notice 9/28/18 Proposed Effective Date 10/1/18 Non-Emergency Medical Transportation Notice to Public Date of Public Notice 9/6/18 Proposed Effective Date 1/1/19 Electronic Asset Verification System Notice to Public Date of Public Notice 9/6/18 Proposed Effective Date 10/1/18 Nursing Facility Rates Notice to Public Date of Public Notice 8/5/18 Proposed Effective Date 7/1/18 Hospice, Home Care, and HCBS Rates Notice to Public Date of Public Notice 7/29/18 Proposed Effective Date 7/1/18 Health Homes for Children Notice to Public Date of Public Notice 7/29/18 Proposed Effective Date 7/1/18 Nursing Facility Rates Notice to Public Date of Public Notice 7/29/18 Proposed Effective Date 7/1/18 Program for All Inclusive Care for the Elderly- Rate Methodology Notice to Public Date of Public Notice 7/29/18 Proposed Effective Date 7/1/18 Assurance of Mental Health Parity in Children's Health Insurance Program Notice to Public Date of Public Notice 6/28/18 Proposed Effective Date 10/2/17 Integrated Health Home Withhold Notice to Public Date of Public Notice 6/28/18 Proposed Effective Date 6/1/18 Electronic Asset Verification System Notice to Public Date of Public Notice 4/4/18 Proposed Effective Date 6/1/18 Medically Needy Income Limit Notice to Public Date of Public Notice 3/29/18 Proposed Effective Date 1/1/18 Standards for Optional State Supplementary Payments Notice to Public Date of Public Notice 3/29/18 Proposed Effective Date 1/1/18 Increase in Home Equity Limit for Long-Term Care Notice to Public Date of Public Notice 3/29/18 Proposed Effective Date 1/1/18 Rescission of Coverage of COVID-19 Testing Group Notice to Public State Plan Page Date of Public Notice 6/19/20 Proposed Effective Date 4/1/20 1115 Waiver Amendment Independent Provider Rates Independent Provider Rates Date of Public Notice7/10/19 Proposed Effective Date10/1/19