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 Type of Amendment PurposeDate of Public Notice Proposed Effective Date Type of Amendment PurposeDate of Public Notice Proposed Effective Date Type of Amendment Purpose Date of Public Notice Proposed Effective Date SPA Graduate Medical Education Payments Increase Notice to Public (English)Notice to Public (Spanish)Notice to Public (Portuguese) 3/30/21 6/1/21 SPA Vaccines and Vaccine Administration Notice to Public (English)Notice to Public (Spanish)Notice to Public (Portuguese) 3/30/21 4/1/21 SPA Psychiatric Residential Treatment Facilities (PRTF)Notice to Public 3/4/21 4/1/21 SPA SPA SPA Medication-Assisted TreatmentNotice to Public Home Equity LimitsNotice to Public Medically Needy Income Limits and State Supplemental PaymentsNotice to Public 2/26/21 2/26/21 2/26/21 10/1/20 1/1/2021 1/1/2021 SPA Nursing Facility RatesNotice to PublicState Plan PagePublic CommentResponse to Comment 9/30/20 10/1/20 SPA Doula ServicesNotice to PublicState Plan Benefit PageState Plan Payment Page 6/30/20 7/1/20 SPA Outpatient Hospital Supplemental PaymentNotice to PublicState Plan PageNotice of Public Hearing 6/30/20 7/1/20 SPA Outpatient Hospital RatesNotice to PublicState Plan PageNotice of Public Hearing 6/30/20 7/1/20 SPA Inpatient Hospital Rates Notice to PublicState Plan PageNotice of Public Hearing 6/30/20 7/1/20 SPA SUPPORT Act Mental Health Service Provisions in CHIP Notice to Public State Plan Page 5/26/20 6/25/20 SPA Recovery Audit Contractors Notice to Public State Plan Page 5/26/20 6/25/20 SPA Eleanor Slater Hospital 3/24/20 3/25/20 SPA Home Equity Limit 2/21/20 1/1/20 SPA Medically Needy Income Limit and State Supplementary Payments 2/21/20 1/1/20 SPA Drug Utilization Review 11/18/19 10/1/19 SPA Hospice Services 9/30/19 10/1/19 SPA Drug Reimbursement Technical Corrections 9/10/19 10/1/19 SPA Utilization Control 7/22/19 7/1/19 1115 Waiver Amendment Independent Provider Rates 7/10/19 10/1/19 SPA In-Patient Hospital Rates 6/28/19 7/1/19 SPA Outpatient Hospital Rates 6/28/19 7/1/19 SPA Nursing Facility Rates 6/28/19 7/1/19 SPA Hospice Rates 6/28/19 7/1/19 SPA In-Patient Hospital Supplement Payment 6/28/19 7/1/19 SPA Graduate Medical Education 6/28/19 7/1/19 SPA Premiums and Cost Sharing 5/28/19 4/1/19 SPA CHIP Managed Care Final Rule 5/13/19 1/1/19 SPA Medically Needy Income Limit and State Supplementary Payments 2/26/19 1/1/19 SPA Home Equity Limit 2/26/19 1/1/19 SPA RIte Share Premium Assistance Program 11/20/18 1/1/19 SPA Pre-Eligible Medical and Remedial Expenses 11/8/18 10/1/18 SPA Adult Day Rate Increase 09/28/18 10/1/18 SPA Assisted Living/Home Care/Hospice Rate Increase 09/28/18 10/1/18 SPA Case Management Target Population 09/28/18 10/1/18 SPA PT, OT and Speech Therapy Benefits 09/28/18 10/1/18 SPA Non-Emergency Medical Transportation 09/06/18 1/1/19 SPA Electronic Asset Verification System 09/06/18 10/1/18 SPA Nursing Facility Rates 08/05/18 7/1/18 SPA Hospice, Home Care, and HCBS Rates 7/29/18 7/1/18 SPA Health Homes for Children 7/29/18 7/1/18 SPA Nursing Facility Rates 7/29/18 7/1/18 SPA Program for All Inclusive Care for the Elderly- Rate Methodology 7/29/18 7/1/18 SPA Assurance of Mental Health Parity in Children's Health Insurance Program 6/28/18 10/2/17 SPA Integrated Health Home Withhold 6/28/18 6/1/18 SPA Electronic Asset Verification System 4/4/18 6/1/18 SPA Medically Needy Income Limit 3/29/18 1/1/18 SPA Standards for Optional State Supplementary Payments 3/29/18 1/1/18 SPA Increase in Home Equity Limit for Long-Term Care 3/29/18 1/1/18 SPA Rescission of Coverage of COVID-19 Testing Group Notice to Public State Plan Page 6/19/20 4/1/20