State Plan Amendments and 1115 Waiver Changes

Mobile Response and Stabilization Services (MRSS) SPA

Notice to Public

Notice Date: 4/17/26

Proposed Effective Date: 10/1/26

MSP Income Disregard SPA

Notice to Public

Notice Date: 1/30/26

Proposed Effective Date: 2/1/26

MNIL/SSP SPA

Notice to Public

Notice Date: 12/17/25

Proposed Effective Date: 1/1/26

Parent/Caretaker Income Adjustment

Notice to Public

Notice Date: 12/17/25

Proposed Effective Date: 1/1/26

Alternative Benefit Plan (ABP) SPA

Notice to Public

• ABP 3.1
• ABP 5
• ABP 8

Notice Date: 11/14/25

Proposed Effective Date: 11/15/25

Third Party Liability (TPL) Prior Authorization

Notice to Public

Date of Public Notice: 9/29/25         

Proposed Effective Date: 10/1/25

Interprofessional Consults and Primary Care Rates

Notice to Public

Date of Public Notice: 9/29/25   

Proposed Effective Date: 10/1/25

Long-Term Behavioral Health Unit Rate

Notice to Public

Notice Date: 9/10/25

Proposed Effective Date: 10/1/25

Medicaid Assisted Treatment (MAT)

Notice to Public

• Attachment
• Supplement to Attachment

Notice Date: 9/10/25

Proposed Effective Date: 10/1/25

RUG to PDPM

Notice to Public

• Notice Date: 7/14/25
• Proposed Effective Date: 10/1/25

High-Investment Drugs

Notice to Public

• Notice Date: 6/30/25
• Proposed Effective Date: 7/1/25

Hospice and Home Health Rates

Notice to Public

• Notice Date: 6/30/25
• Proposed Effective Date: 7/1/25

Community Health Workers

Notice to Public

• Notice Date: 5/9/25
• Proposed Effective Date: 5/19/25

Notice of Public Hearing

• Posted: 5/23/25
• Hearing Date: 6/3/25
• Responses to Public Comments

Four Walls Attestation

Notice to Public

Notice Date: 3/21/25

Proposed Effective Date: 1/1/25

CAA Juvenile Justice

Notice to Public

Notice Date: 2/18/25

Proposed Effective Date: 1/1/25

PACE Payment Methodology

Notice to Public

Notice Date: 2/12/25

Proposed Effective Date: 3/1/25

Disproportionate Share Hospitals

Notice to Public

Notice Date: 2/12/25

Proposed Effective Date: 3/1/25

PRTF Technical Changes

Notice to Public

Notice Date: 2/12/25

Proposed Effective Date: 2/13/25

OHIC Rate Review – Lead Investigations and Physical Therapies and Related Services 

Notice to Public

Notice Date: 2/12/25

Proposed Effective Date: 2/13/25

Pharmacy Value-Based Purchasing Supplemental Rebate Agreement

Notice to Public

Date of Public Notice: 1/24/2024

Proposed Effective Date: 1/1/2025

Standards for Optional State Supplementary Payments and Medically Needy Income Limit

Notice to Public

Date of Public Notice: 1/24/2025

Proposed Effective Date: 1/1/2025

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

Independent Provider Rates

Independent Provider Rates 

Date of Public Notice
7/10/19

Proposed Effective Date
10/1/19