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

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

Date of Public Notice: 6/30/22

Proposed Effective Date: 7/1/22

Home Health Agency (Home Care) Rate Increase

Notice to Public

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 Notice
7/10/19

Proposed Effective Date
10/1/19