Overview

Current State Plan Amendments submitted to the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS).      

SPA 25-W: New Coverage of Medical Nutrition Therapy - posted June 24, 2025

SPA 25-X: July 2025 Quarterly HIPAA Compliant Updates – Physician Office and Outpatient Fee Schedule, Dental Fee Schedules, Free-standing Alcohol Treatment Center Fee Schedule and the Behavioral Health Clinic Fee Schedule and Changes to the Rehabilitation Clinic Fee Schedule” – posted June 25, 2025

SPA 25-Y: Updates to the Autism Spectrum Disorders (ASD) Services - posted June 3, 2025.

SPA 25-Z: Substance Use Disorder (SUD) Services – New Rates for Adolescent Residential ASAM Levels of Care and Rate Update for Adult Residential ASAM Level of Care 3.1, 3.3, 3.5 and 3.5PPW. - posted April 30, 2025

SPA 25-AA: Alternative Benefit Plan for Consolidated Appropriations Act - posted May 20, 2025

SPA CT 25-AC: Updates to the Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Primary Care Setting – posted June 24, 2025

SPA CT 25-AE: SPA 25-AE: Community First Choice - Reimbursement Updates to Implement Personal Care Attendant Collective Bargaining Agreement – posted June 24, 2025

SPA 25-AF: Hospital Reimbursement for Sickle Cell Disease (SCD) Therapies - posted May 28, 2025

SPA 25-AG: Private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Reimbursement – posted June 24, 2025

SPA 25-AJ: Nursing Facility Reimbursement – Extension of Case-Mix Neutrality Factor, Wage Enhancement Increases, and Supplemental Funding Pools – posted June 24, 2025

SPA 25-AK: Federally Qualified Health Center Change in Scope Revisions and Alternative Payment Methodology – posted June 25, 2025

SPA 25-AL: Chronic Disease Hospital Reimbursement – posted June 24, 2025

SPA 25-AM: Non-Government Independent Financially Distressed Hospitals – Outpatient Supplemental Payment – posted June 24, 2025

SPA 25-AN: Update to ABP for the Medicaid Coverage Group for Low-Income Adults-Coverage of Medical Nutrition Therapy – posted June 25, 2025

SPA 25-AO: Rate Increase for Medicine Administration Performed by Home Health Agencies – posted on June 25, 2025

25-AP: Medical Equipment Devices and Supplies (MEDS) - Reimbursement Methodology Revisions for Continuous Glucose Monitors (CGMs) - posted on August 05, 2025.

SPA 25-AQ: October 2025 Quarterly HIPAA Updates – Physician Office and Outpatient Fee Schedule and DMEPOS Fee Schedule” – posted October 1, 2025

SPA 25-AS: Children’s Mental Health Urgent Crises Centers” - posted October 1, 2025

1915(b)(4) Waiver Renewal – Selective Provider Contracting – EIS Pursuant to EPSDT - posted May 5, 2025

Note: Website notices will be archived every quarter of the year. All notices are placed in the corresponding archive folder determined by the posting date.