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
Community Health Workers
- Notice Date: 5/9/25
- Proposed Effective Date: 5/19/25
- Posted: 5/23/25
- Hearing Date: 6/3/25
Disproportionate Share Hospitals
Notice Date: 2/12/25
Proposed Effective Date: 3/1/25
OHIC Rate Review – Lead Investigations and Physical Therapies and Related Services
Notice Date: 2/12/25
Proposed Effective Date: 2/13/25
Pharmacy Value-Based Purchasing Supplemental Rebate Agreement
Date of Public Notice: 1/24/2024
Proposed Effective Date: 1/1/2025
Standards for Optional State Supplementary Payments and Medically Needy Income Limit
Date of Public Notice: 1/24/2025
Proposed Effective Date: 1/1/2025
Outpatient Facility Fees
Date of Public Notice: 9/27/24
Proposed Effective Date: 10/1/24
OHIC Rate Review – Integrated Health Homes
Date of Public Notice: 8/14/24
Proposed Effective Date: 10/1/24
TBI Payment Methodology
Date of Public Notice: 8/14/24
Proposed Effective Date: 8/15/24
OHIC Rate Review – Attachment 4.19-B
Date of Public Notice: 7/31/24
Proposed Effective Date: 10/1/24
OHIC Rate Review – Family Home Visiting
Date of Public Notice: 7/31/24
Proposed Effective Date: 10/1/24
OHIC Rate Review - CEDAR
Date of Public Notice: 7/31/24
Proposed Effective Date: 10/1/24
Chiropractors’ Services
Date of Public Notice: 6/27/24
Proposed Effective Date: 7/1/24
Ambulatory Service Centers
Date of Public Notice: 6/27/24
Proposed Effective Date: 7/1/24
CHIP SPA – Vaccine Attestation
Date of Public Notice: 2/26/24
Proposed Effective Date: 10/1/23
Continuous Eligibility for Children
Date of Public Notice: 2/26/24
Proposed Effective Date: 1/1/24
Certified Community Behavioral Health Clinics
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
Date of Public Notice: 1/9/24
Proposed Effective Date: 1/1/24
DD Professional Rates
Date of Public Notice: 12/28/23
Proposed Effective Date: 1/1/24
E-MHPRR
Date of Public Notice: 12/8/23
Proposed Effective Date: 12/9/23
Vaccine Attestation
Date of Public Notice: 11/22/2023
Proposed Effective Date: 10/1/2023
Clinician’s Services
Date of Public Notice: 11/10/2023
Proposed Effective Date: 10/1/2023
Ticket to Work Eligibility Group
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
Date of Public Notice: 7/20/2023
Proposed Effective Date: 7/21/2023
Personal Needs Allowance Increase
Date of Public Notice: 6/27/2023
Proposed Effective Date: 7/1/2023
Cedar Family Centers Rate Increase
Date of Public Notice: 6/27/2023
Proposed Effective Date: 7/1/2023
First Connections Temporary Rate Increase Extension
Date of Public Notice: 6/13/2023
Proposed Effective Date: 7/1/2023
Medicare Premium Payment Program
Date of Public Notice: 5/30/23
Proposed Effective Date: 4/1/23
Medically Needy Income Limits and State Supplemental Payments
Date of Public Notice: 2/2/23
Proposed Effective Date: 1/1/23
Nursing Facility Rate Methodology
Date of Public Notice: 12/12/2022
Proposed Effective Date: 1/1/2023
Waiver of Signature Requirements for Dispensing of Drugs
Date of Public Notice: 11/18/22
Proposed Effective Date: the start of the Public Health Emergency (PHE)
Emergency Case Management Extension
Date of Public Notice: 11/18/22
Proposed Effective Date: the end of the Public Health Emergency (PHE)
RIte Smiles for Adults
Date of Public Notice: 11/18/22
Proposed Effective Date: the end of the Public Health Emergency (PHE)
Nursing Facility Rate Increase
Date of Public Notice: 9/22/22
Proposed Effective Date: 10/1/22
Nursing Facility Add-on Rate
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
Date of Public Notice: 9/22/22
Proposed Effective Date: 10/1/22
12 Months Postpartum Coverage
Date of Public Notice: 9/8/22
Proposed Effective Date: 10/1/22
Parents as Teachers Program
Date of Public Notice: 8/29/22
Proposed Effective Date: 10/1/22
Recovery Audit Contractors (RAC) Exemption
Date of Public Notice: 8/4/22
Proposed Effective Date: 8/5/22
MHPRR High Intensity Tier Enhancement
Date of Public Notice: 7/18/22
Proposed Effective Date: 7/19/22
Inpatient Hospital Rate Increase
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
Outpatient Hospital Rate Increase
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
Inpatient UPL Update
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
Outpatient UPL Update
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
Adult Dental Rate Increase
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
Home Health Agency (Home Care) Rate Increase
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
First Connections eFMAP Temporary Rate Increase
Date of Public Notice: 6/30/22
Proposed Effective Date: 7/1/22
COVID Vaccine, Testing, Treatment-CHIP
Date of Public Notice
6/1/22
Proposed Effective Date
3/11/21
COVID Vaccine, Testing, Treatment, Standalone Vaccine Counseling-Medicaid
Date of Public Notice
6/1/22
Proposed Effective Date
8/30/21
Prenatal First Connections Program
Date of Public Notice
4/25/22
Proposed Effective Date
4/1/22
Disaster Relief BHDDH Staffing Waiver
Date of Public Notice
3/8/22
Proposed Effective Date
11/1/21
Standards for Optional State Supplementary Payments and Medically Needy Income Limit
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
Date of Public Notice
12/31/21
Proposed Effective Date
1/1/22
Adult Behavioral Health Services Temporary Rate Increases
Date of Public Notice
11/19/2021
Proposed Effective Date
12/1/2021
Assertive Community Treatment (ACT) Temporary Rate Increases
Date of Public Notice
11/19/2021
Proposed Effective Date
12/1/2021
Third Party Liability Requirement Updates
Date of Public Notice
11/16/2021
Proposed Effective Date
12/1/2021
Tribal Reimbursement
Date of Public Notice
11/16/2021
Proposed Effective Date
12/1/2021
Non-Emergency Medical Transportation (NEMT) Provider and Driver Requirements
Date of Public Notice
11/16/2021
Proposed Effective Date
12/1/2021
Bundled Payments and Negotiated Reimbursement Rates for Mobile Dental Services
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
Date of Public Notice
11/16/2021
Proposed Effective Date
12/1/2021
Adult Day Health Services Temporary Rate Increase
Date of Public Notice
10/29/21
Proposed Effective Date
11/1/21
Home Care Services Temporary Rate Increases
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
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 (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
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
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 Revised Posting
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)
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
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
Date of Public Notice
2/26/21
Proposed Effective Date
10/1/20
Medically Needy Income Limits and State Supplemental Payments
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
Date of Public Notice
5/26/20
Proposed Effective Date
6/25/20
Recovery Audit Contractors
Date of Public Notice
5/26/20
Proposed Effective Date
6/25/20
Eleanor Slater Hospital
Date of Public Notice
3/24/20
Proposed Effective Date
3/25/20
Medically Needy Income Limit and State Supplementary Payments
Date of Public Notice
2/21/20
Proposed Effective Date
1/1/20
Drug Utilization Review
Date of Public Notice
11/18/19
Proposed Effective Date
10/1/19
Drug Reimbursement Technical Corrections
Date of Public Notice
9/10/19
Proposed Effective Date
10/1/19
In-Patient Hospital Rates
Date of Public Notice
6/28/19
Proposed Effective Date
7/1/19
Outpatient Hospital Rates
Date of Public Notice
6/28/19
Proposed Effective Date
7/1/19
Nursing Facility Rates
Date of Public Notice
6/28/19
Proposed Effective Date
7/1/19
In-Patient Hospital Supplement Payment
Date of Public Notice
6/28/19
Proposed Effective Date
7/1/19
Graduate Medical Education
Date of Public Notice
6/28/19
Proposed Effective Date
7/1/19
Premiums and Cost Sharing
Date of Public Notice
5/28/19
Proposed Effective Date
4/1/19
CHIP Managed Care Final Rule
Date of Public Notice
5/13/19
Proposed Effective Date
1/1/19
Medically Needy Income Limit and State Supplementary Payments
Date of Public Notice
2/26/19
Proposed Effective Date
1/1/19
RIte Share Premium Assistance Program
Date of Public Notice
11/20/18
Proposed Effective Date
1/1/19
Pre-Eligible Medical and Remedial Expenses
Date of Public Notice
11/18/18
Proposed Effective Date
10/1/18
Adult Day Rate Increase
Date of Public Notice
9/28/18
Proposed Effective Date
10/1/18
Assisted Living/Home Care/Hospice Rate Increase
Date of Public Notice
9/28/18
Proposed Effective Date
10/1/18
Case Management Target Population
Date of Public Notice
9/28/18
Proposed Effective Date
10/1/18
PT, OT and Speech Therapy Benefits
Date of Public Notice
9/28/18
Proposed Effective Date
10/1/18
Non-Emergency Medical Transportation
Date of Public Notice
9/6/18
Proposed Effective Date
1/1/19
Electronic Asset Verification System
Date of Public Notice
9/6/18
Proposed Effective Date
10/1/18
Hospice, Home Care, and HCBS Rates
Date of Public Notice
7/29/18
Proposed Effective Date
7/1/18
Health Homes for Children
Date of Public Notice
7/29/18
Proposed Effective Date
7/1/18
Nursing Facility Rates
Date of Public Notice
7/29/18
Proposed Effective Date
7/1/18
Program for All Inclusive Care for the Elderly- Rate Methodology
Date of Public Notice
7/29/18
Proposed Effective Date
7/1/18
Assurance of Mental Health Parity in Children's Health Insurance Program
Date of Public Notice
6/28/18
Proposed Effective Date
10/2/17
Integrated Health Home Withhold
Date of Public Notice
6/28/18
Proposed Effective Date
6/1/18
Electronic Asset Verification System
Date of Public Notice
4/4/18
Proposed Effective Date
6/1/18
Medically Needy Income Limit
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
Date of Public Notice
6/19/20
Proposed Effective Date
4/1/20
1115 Waiver Amendment
Independent Provider Rates
Date of Public Notice
7/10/19
Proposed Effective Date
10/1/19