(SPA) 24-0007 is being submitted to allow the Division of Medicaid (DOM) to set the reimbursement for REH in the Medicaid state plan at the APC rate plus 5% or Medicare payment …Read More →

State Plan Amendment (SPA) 24-0003 Physician Upper Payment Limit (UPL) was submitted to allow the Division of Medicaid (DOM) to update the Medicare Equivalent of the average commercial rate (ACR) ratio and …Read More →

State Plan Amendment (SPA) 24-0015 was submitted to allow adults to receive above the monthly prescription limit when prior authorized as medically necessary and to allow for coverage of prescription drugs that …Read More →

State Plan Amendment (SPA) 24-0012 was submitted to allow the Division of Medicaid (DOM) to enter into value-based contracts with manufacturers on a voluntary basis, effective July 1, 2024. For more information, …Read More →