Medicaid State Plan Amendments

Archive 2026

SPA 26-A: January 2026 HIPAA Updates for Physician Services, Dental Services, Independent Radiology, DME, Medical Surgical Supplies, Independent Laboratory Services, and Audiology/Speech & Language Pathology, Increases to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices (LARCs), the Annual Review of the Reimbursement Rates for Physician-Administered Drugs, Rate Increases for Select Home Health and Home and Community Based Services – posted December 23, 2025

SPA 26-B: 1.) January 2026 HIPAA Compliant Updates for Rehabilitation Clinics 2.) Annual Review of Physician-Administered Drugs Reimbursement Rates - Select Clinic Fee Schedules- posted December 23, 2025

SPA 26-D: Community First Choice - Reimbursement Updates to Implement Personal Care Attendant Collective Bargaining Agreement – posted December 23, 2025

SPA 26-E: Reimbursement Rate Increase for Select Medical Services and Specialties - posted December 30, 2025

SPA 26-F: Reimbursement Rate Increase for Independent Therapy Services - posted December 30, 2025

SPA 26-G: Increased Rates to Select Behavioral Health Services Procedure Codes - posted December 30, 2025

SPA 26-J: Private Psychiatric Residential Treatment Facility (PRTF) Rate Increase - posted December 30, 2025

SPA 26-L: January 2026 Person-Centered Medical Home Plus (PCMH+) Updates - Sunset Shared Savings Payments - posted December 30, 2025

SPA 26-M: Integrated Care for Kids (InCK) One-Time Supplemental Payment - posted December 23, 2025

SPA 26-O: Reimbursement Update to Medical Surgical Supplies Fee Schedule - Posted January 27, 2026

SPA 26-S: April 2026 HIPAA Updates for Physician Services, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Increases to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices (LARCs), the Addition of Moderna Vaccine to Select Fee Schedules – Posted March 31, 2026.

SPA 26-V: Free Standing Birthing Centers Rate Increase – Posted March 31, 2026

SPA 26-W: Private Intermediate Care Facilities for Individuals with Intellectual Disabilities Reimbursement – Posted March 30, 2026

SPA 26-X:  Increases to the Reimbursement Rates for Select Adult Dental Services - posted April 28, 2026

SPA 26-0003 – Updates to School-Based Child Health Services - posted December 09. 2025

SPA 26-0005: Federally Qualified Health Centers (FQHCs) Supplemental Payment - Posted January 20. 2026

SPA 26-0015: Chronic Disease Hospital Reimbursement – 1.) One-Time Supplemental Payment to Private Free-standing Chronic Disease Hospitals. 2.) Rebasing of the Per Diem Rate for Medicaid Inpatient Utilization Exceeding 75% for State Fiscal Year 2024 – Posted March 9, 2026.