2026
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 6/5/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 305: Program Integrity, Chapter 1: Program Integrity, Rule(s) 1.1-1.3
Summary: This Administrative Code is being filed to update the language regarding hearings and suspension of payments in cases of suspected fraud.
System Number: 28715
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 6/5/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 208: Home and Community Based Services (HCBS) Long Term Care, Chapter 2: Home and Community-Based Services (HCBS) Independent Living Waiver, Chapter 3: Home and Community-Based Services Assisted Living Waiver, Chapter 4: Home and Community-Based Services Traumatic Brain Injury/Spinal Cord Injury Waiver, Chapter 6: Bridge to Independence
Summary: This Administrative Code is being revised to remove Chapter 6 and to correspond with the 1915(c) Independent Living Waiver, Assisted Living Waiver and Traumatic Brain Injury/Spinal Cord Injury Waiver approved by CMS, and includes the following revisions: Updates to provider qualifications and requirements, updates to quality metrics to align as much as possible with all HCBS waivers, updates to case management service specifications and provider qualifications, add new medication management and environmental safety services, update language regarding the provision of services by family members and define legally responsible persons
System Number: 28713
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 6/5/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 102: Non-Financial Requirements, Chapter 9: Residents of an Institution, Rule(s) 9.5 and 9.8.
Summary: This Administrative Code is being filed to revise and clarify that inmate eligibility is limited to coverage for inpatient care only in compliance with Section 1902(a)(84)(A) of the SSA.
System Number: 28712
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/29/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 225: Telemedicine, Chapters 1-4, Rules 1.2, 2.2, 3.2 and 4.2
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28701
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/29/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 224: Immunizations, Chapter 1: General, Rule 1.2: Provider Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28698
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/29/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 223: Early and Periodic Screening, Diagnosis and Treatment (EPSDT), Chapters 3-5, Rules 3.2, 4.2 and 5.2
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28697
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/29/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Medicaid, Part 220: Radiology, Chapter 1: General, Rule 1.1: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28696
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/29/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 219: Laboratory Services, Chapter 1: General, Rule 1.1: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28695
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/29/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 218: Hearing Services, Chapter 1: General, Rule 1.1: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28694
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 217: Vision Services, Chapter 1: General, Rule 1.2: Provider Enrollment
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28693
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 216: Dialysis Services, Chapter 1: Dialysis Services, Rule 1.1: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28692
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 215: Home Health Services, Chapter 1: Home Health Services, Rule 1.2: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28691
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 213: Therapy Services, Chapters 1-3, Rules 1.1, 2.1 and 3.1
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28690
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 210: Ambulatory Services, Chapter 1: General, Rule 1.3
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28689
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 209: Durable Medical Equipment, Medical Appliances and Supplies, Chapter 1: Durable Medical Equipment and Medical Appliances, Rule: 1.2: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28688
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 208: Home and Community Based Services (HCBS) Long Term Care, Chapter 1: Home and Community-Based Services (HCBS) Elderly and Disabled Waiver, Rule 1.3: Provider Enrollment
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28687
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 207, Chapter 2: Nursing Facility, Rule 2.2: Provider Enrollment Requirements, Chapter 3: Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID), Rule 3.2: Provider Enrollment Requirements, Chapter 4: Psychiatric Residential Treatment Facility, Rule 4.2 Provider Enrollment
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28686
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/28/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 206: Mental Health Services, Chapter 1: Community Mental Health Services, Rule 1.1: Provider Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies.
System Number: 28685
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/27/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 205: Hospice Services; Chapter 1: Program Overview; Rule 1.2: Provider Enrollment Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies
System Number: 28683
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/27/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 203: Physician Services, Chapter 1: General, Rule 1.1: Provider Enrollment Requirements for Physicians, Osteopaths, Chiropractors, Podiatrists; Chapter 3: Anesthesia, Rule 3.1: Provider Enrollment, Chapter 7: Nurse Practitioner, Rule 7.1: Provider Enrollment; Chapter 8: Physician Assistant, Rule 8.1: Physician Assistant Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies
System Number: 28682
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/27/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 204: Dental Services, Chapter 1: General, Rule 1.2: Provider Enrollment
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies
System Number: 28681
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/27/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 202: Hospital Services, Chapter 1: Inpatient Services, Rule 1.2: Provider Enrollment; Chapter 3: Swing Beds, Rule 3.2: Certification of Providers/Provider Enrollment
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies
System Number: 28678
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/27/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 201: Transportation Services, Chapter 1: Emergency Transportation Services, Rule 1.1: Emergency Ambulance Provider Requirements
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies
System Number: 28677
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 5/27/2026 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 200: General Provider Information, Chapter 4: Provider Enrollment, Rule 4.2: Conditions of Participation; Rule 4.4: Effective Date of Provider Agreement and Provider Agreement Termination; Rule 4.5: Licensure, Specialty Certificates, Certification and Permits; Rule 4.7: Change of Tax ID; Rule 4.8: Requirements for All Providers; Rule 4.9: Group Providers
Summary: This administrative code is being filed to consolidate all general provider enrollment requirements into Part 200 to eliminate redundancies
System Number: 28676
Notice | Full Text
2025
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 1/3/2025 Final Date:
Effective Date: Withdrawal Date:
Rule: Title 23: Medicaid, Part 205: Hospice Services, Chapter 1: Program Overview, Rule 1.8: Reimbursement
Summary: This Administrative Code is being revised to allow the Division of Medicaid (DOM) to reimburse the hospice provider for services rendered on the date of death and to correspond with SPA 25-0004 (effective January 1, 2025)
System Number: 27807
Notice | Full Text
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