Medicaid State Plan Amendments

This plan amendment updates the Evaluation and Management (E&M) reimbursement.

This state plan amendment waives the Four Walls requirement for outpatient mental health clinics in Maryland.

This amendment is to memorialize the new income standards for its optional state supplement program, the beneficiaries of which are eligible for Medicaid under Connecticut's State Plan.

This amendment proposed to create a new reasonable classification of medically needy individuals under age 21.

This amendment proposed to confirm its methodology for determining household income.

This amendment adds language to the Medicaid State Plan to document Pennsylvania's process to determine when it is appropriate to approve an enrollment with a retroactive billing date.

This amendment updates Ohio's Comprehensive Primary Care (CPC) and CPC for Kids Programs under the state plan for program year 2025.

This amendment proposes to remove limits on physician office visits, home visits, and nursing facility visits.

This amendment updates Ohio's Comprehensive Maternal Care Program under the state plan for calendar year 2025.

This amendment expands the Hospice Benefit to all Medicaid members provided they meet the criteria for hospice, and the hospice benefit is within the scope of their categorical eligibility.