Medicaid State Plan Amendments

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

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

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

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

This plan amendment accounts for new, amended, and/or deleted Healthcare Common Procedure Code System (HCPCS) codes on the Ohio Department of Medicaid (ODM) fee schedules.

This amendment provides technical updates to clarify coverage of Behavioral Health Treatment under the Early and Periodic
Screening, Diagnostic and Treatment (EPSDT) benefit and updates who can supervise paraprofessionals.

This amendment reinstate Prior Authorization Request (PAR) requirements for Long Term Home Health Services effective at the end of Maintenance of Effort (MOE) requirements for the American Rescue Plan Act (ARPA).