State Plan Amendments and 1115 Waiver Changes

The State Plan and the 1115 Medicaid Waiver provide the legal authority required under federal law to operate the Medicaid program. For more information, see Medicaid State Plan and 1115 Waiver. 

Public Notice 

Proposed SPA or 1115 Waiver Changes 

Type of Amendment	Purpose	Notice to Submit	Proposed Effective Date
SPA	Utilization Control	7/22/19	7/1/19
1115 Waiver Amendment	Independent Provider Rates	7/10/19	10/1/19
SPA	In-Patient Hospital Rates	6/28/19	7/1/19
SPA	Outpatient Hospital Rates	6/28/19	7/1/19
SPA	Nursing Facility Rates	6/28/19	7/1/19
SPA	Hospice Rates	6/28/19	7/1/19
SPA	In-Patient Hospital Supplement Payment	6/28/19	7/1/19
SPA	Graduate Medical Education	6/28/19	7/1/19
SPA	Premiums and Cost Sharing	5/28/19	4/1/19
SPA	CHIP Managed Care Final Rule	5/13/19	1/1/19
SPA	Medically Needy Income Limit and State Supplementary Payments	2/26/19	1/1/19
SPA	Home Equity Limit	2/26/19	1/1/19
SPA	RIte Share Premium Assistance Program	11/20/18	1/1/19
SPA	Pre-Eligible Medical and Remedial Expenses	11/8/18	10/1/18
SPA	Adult Day Rate Increase	09/28/18	10/1/18
SPA	Assisted Living/Home Care/Hospice Rate Increase	09/28/18	10/1/18
SPA	Case Management Target Population	09/28/18	10/1/18
SPA	PT, OT and Speech Therapy Benefits	09/28/18	10/1/18
SPA	Non-Emergency Medical Transportation	09/06/18	1/1/19
SPA	Electronic Asset Verification System	09/06/18	10/1/18
SPA	Nursing Facility Rates	08/05/18	7/1/18
SPA	Hospice, Home Care, and HCBS Rates	7/29/18	7/1/18
SPA	Health Homes for Children	7/29/18	7/1/18
SPA	Nursing Facility Rates	7/29/18	7/1/18
SPA	Program for All Inclusive Care for the Elderly- Rate Methodology	7/29/18	7/1/18
SPA	Assurance of Mental Health Parity in Children's Health Insurance Program	6/28/18	10/2/17
SPA	Integrated Health Home Withhold	6/28/18	6/1/18
SPA	Electronic Asset Verification System	4/4/18	6/1/18
SPA	Medically Needy Income Limit	3/29/18	1/1/18
SPA	Standards for Optional State Supplementary Payments	3/29/18	1/1/18
SPA	Increase in Home Equity Limit for Long-Term Care	3/29/18	1/1/18