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 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 Adjustment, Minimum Staffing Compliance, Wage Pass-Through Requirements and Payment Methodology Updates Public Hearing Transcript Notice of Public Hearing Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) 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 Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 9/22/21 Proposed Effective Date 10/1/21 Outpatient Hospital Annual Review and Inflationary Increases Notice to Public Notice to Public (Spanish) Notice to Public (Portuguese) Date of Public Notice 9/22/21 Proposed Effective Date 10/1/21 Community Health Worker Services Response to Public Comments 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 PublicResponses 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 PublicState Plan PagePublic CommentResponse to Comment Date of Public Notice 9/30/20 Proposed Effective Date 10/1/20 Doula Services Notice to PublicState Plan Benefit PageState Plan Payment Page Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 Outpatient Hospital Supplemental Payment Notice to PublicState Plan PageNotice of Public Hearing Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 Outpatient Hospital Rates Notice to PublicState Plan PageNotice of Public Hearing Date of Public Notice 6/30/20 Proposed Effective Date 7/1/20 Inpatient Hospital Rates Notice to PublicState Plan PageNotice 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
