Medicaid State Plan Amendments

This plan amendment provides updates to inpatient hospital reimbursement including the removal of provider categories receiving DRG base rates, and specific categories for which policy adjustors are applied for.

The purpose of this plan amendment is to update the methods and standards used by Massachusetts for payment for restorative services.

This plan amendment updates the Medicaid family planning services fee schedule with a proposed effective date of April 1, 2025.

The purpose of this plan amendment is to increase rates for psychologists.

This plan amendment updates the Physician services and reimbursement rates.

This plan amendment updates the 1915 Authority.

This amendment removes provisions for transitional outpatient payments as funding for these payments to providers was cut during the 2025 General Session of the Utah Legislature. Accordingly, the transition need has passed.

This plan amendment removes provisions for the national initiative to educate parents on the dangers of shaken baby syndrome as funding for this initiative was cut during the 2025 General Session of the Utah Legislature.

This amendment removes the September 30, 2025, end date for the medication-assisted treatment option for opioid use disorder.

This SPA updates and clarifies language regarding the eligible prescriber of physical therapy, occupational therapy, and
speech pathology services.