Non-Institutional Services - Status
| SPA Number | Description | Original Submission and Date | Approved Submission and Date |
|---|---|---|---|
| SPA 11-01 | Active Pharmaceutical Ingredients (APIs) | Original Submission: March 31, 2011 | Approved: September 22, 2011 |
| SPA 11-05 | Transitional Medical Assistance Eligibility Criteria Change | Original Submission: December 13, 2011 | Approved: March 5, 2012 |
| SPA 11-06 | Tribal Consultation Procedures | Original Submission: May 31, 2011 | Approved: August 4, 2011 |
| SPA 11-07A | Supplemental Medicaid Payments for SUNY Physicians Supplemental Medicaid Payments for Physicians - HHC | Original Submission: June 15, 2011 | Approved: February 25, 2013 |
| SPA 11-07B | Supplemental Medicaid Payments for Physicians - Public Benefit Corporations | Original Submission: June 30, 2011 | Approved: February 25, 2013 |
| SPA 11-07C | Supplemental Medicaid Payment for Physicians - HHC Nassau and Westchester | Original Submission: June 21, 2012 | Approved: February 25, 2013 |
| SPA 11-11 | AIDS - Adult Day Health Care | Original Submission: June 7, 2011 | Approved: January 9, 2012 |
| SPA 11-13 | Outpatient UPL Payments - Non-State Owned or Operated Government General Hospitals | Original Submission: June 6, 2011 | Approved: Pending |
| SPA 11-14 | NYC & Non-NYC Personal Care R & R | Original Submission: June 15, 2011 | Approved: July 26, 2011 |
| SPA 11-15 | Home Care R & R | Original Submission: June 9, 2011 | Approved: September 7, 2011 |
| SPA 11-21 | 2011 Cost Containment - NI | Original Submission: June 30, 2011 | Approved: August 31, 2012 |
| SPA 11-26 | Assist Preservation of Essential Safety-Net | Original Submission: March 20, 2012 | Approved: Pending |
| SPA 11-28 | Behavioral Health Utilization Controls | Original Submission: June 17, 2011 | Approved: August 23, 2012 |
| SPA 11-32 | Align Medicare Part B Clinic Coinsurance with Medicaid Coverage Rates | Original Submission: September 20, 2011 | Approved: December 19, 2011 |
| SPA 11-36 | Payment for Perscription Footwear with Maximum Fees | Original Submission: June 17, 2011 | Approved: August 11, 2011 |
| SPA 11-37 | Establish Utilization Limits for Physical Therapy, Occupational Therapy, and Speech Therapy/Pathology | Original Submission: June 17, 2011 | Approved: September 14, 2011 |
| SPA 11-39 | Preschool/School Supportive Health Services Program (SSHSP) Cost Study | Original Submission: December 14, 2011 | Approved: Pending |
| SPA 11-50 | Control CHHA Utilization by Implementing Provider Specific Aggregate Annual Spending Caps | Original Submission: June 10, 2011 | Approved: August 25, 2011 |
| SPA 11-51 | CHHA Episodic Pricing | Original Submission: January 25, 2012 | Approved: April 4, 2012 |
| SPA 11-53 | Eliminate separate payment rates for AIDS nursing services in CHHAs | Original Submission: June 15, 2011 | Approved: August 17, 2011 |
| SPA 11-56 | Health Home for High-Cost, High-Need Enrollees | Original Submission: November 8, 2011 | Approved: Februray 3, 2012 |
| SPA 11-59 | FQHC Downstate for APGs | Original Submission: June 19, 2011 | Approved: August 25, 2011 |
| SPA 11-61 | Reduced Pharmacy Reimbursement and Dispensing Fees | Original Submission: June 9, 2011 | Approved: August 10, 2011 |
| SPA 11-62 | Early Intervention 5% Reduction and Update Early Intervention Wage Equalization Factor Adjustment | Original Submission: June 17, 2011 | Approved: December 12, 2012 |
| SPA 11-66 | Eliminate 2011 Trend Factor - NI | Original Submission: June 30, 2011 | Approved: August 6, 2012 |
| SPA 11-67 | Establish Payment Amounts and Dispensing Fees for Prescription Drugs | Original Submission: June 15, 2011 | Approved: July 21, 2011 |
| SPA 11-72 | Across the Board Reduction - Non-Institutional | Original Submission: June 30, 2011 | Approved: December 8, 2011 |
| SPA 11-73 | Diabetes Self Management Training | Original Submission: September 30, 2011 | Approved: December 16, 2011 |
| SPA 11-76 | New Models of Payment for Patient-Centered Medical Homes (PCMH) | Original Submission: June 27, 2011 | Approved: May 9, 2012 |
| SPA 11-83 | Termination of Targeted Case Management Programs: TASA, CONNECT and NBA | Original Submission: December 30, 2011 | Approved: August 7, 2012 |
| SPA 11-88 | OMH - 2011-12 Residential Treatment Facilities (RTF) Rate Freeze | Original Submission: September 30, 2011 | Approved: May 25, 2012 |
| SPA 11-89 | Definition of Terminal Illness | Original Submission: May 22, 2012 | Approved: Pending |
| SPA 12-01 | January 2012 Hospital OP APG Weight Adjustments | Original Submission: March 27, 2012 | Approved: Pending |
| SPA 12-02 | January 2012 Freestanding Clinic APG Weight Adjustments | Original Submission: March 27, 2012 | Approved: Pending |
| SPA 12-03 | OPWDD-Rate Setting for State Operated Intermediate Care Facilities | Original Submission: June 30, 2012 | Approved: March 28, 2013 |
| SPA 12-05 | Case Management Services Target Group M - First-Time Mothers/Newborn | Original Submission: March 20, 2012 | Approved: September 6, 2012 |
| SPA 12-08 | Termination of Medication Therapy Management (MTM) Services | Original Submission: March 26, 2012 | Approved: June 7, 2012 |
| SPA 12-09 | Health Homes - Addition of Shared Savings Component of Payment Methodology | Original Submission: March 28, 2012 | Approved: Pending |
| SPA 12-10 | Health Homes - Phase II Counties | Original Submission: May 7, 2012 | Approved: December 4, 2012 |
| SPA 12-11 | Health Homes - Phase III Counties | Original Submission: May 10, 2012 | Approved: December 4, 2012 |
| SPA 12-13 | April and July 2012 Hospital OP APG Weight Adjustments | Original Submission: June 25, 2012 | Approved: Pending |
| SPA 12-14 | April and July 2012 Freestanding Clinic APG Weight Adjustments | Original Submission: June 26, 2012 | Approved: Pending |
| SPA 12-15 | Reimbursement to private practicing podiatrists for podiatry services furnished to Medicaid elegible adults, age 21 and older, with a diagnosts of diabetes mellitus | Original Submission: June 28, 2012 | Approved: September 27, 2012 |
| SPA 12-16 | Lactation Counseling | Original Submission: June 28, 2012 | Approved: December 28, 2012 |
| SPA 12-19 | Revisions to Episodic Pricing | Original Submission: June 4, 2012 | Approved: August 27, 2012 |
| SPA 12-30 | OPWDD-Rate Setting for Medicaid Service Coordination | Original Submission: June 30, 2012 | Approved: Pending |
| SPA 12-31 | $25M Reduction to Hospital APG Investment | Original Submission: June 30, 2012 | Approved: Pending |
| SPA 12-33 | Medicaid Transportation Management | Original Submission: September 28, 2012 | Approved: April 29, 2013 |
| SPA 12-34 | Assist Preservation of Essential Safety-Net - CHHAs | Original Submission: September 28, 2012 | Approved: Pending |
| SPA 12-35 | Coverage of Benzodiazepines and Barbiturates as a Part D Drug | Original Submission: January 28, 2013 | Approved: March 15, 2013 |
| SPA 12-38 | October 2012 and January 2013 Hospital OP APG Weight Adjustments | Original Submission: December 27, 2012 | Approved: Pending |
| SPA 12-39 | October 2012 and January 2013 Freestanding Clinic APG Weight Adjustments | Original Submission: December 27, 2012 | Approved: Pending |
| SPA 13-03 | Physician Home Visits | Original Submission: March 25, 2013 | Approved: Pending |
| SPA 13-15 | Article 28, 31 & 32 Service Integration - Freestanding Clinics | Original Submission: March 29, 2013 | Approved: Pending |
| SPA 13-16 | 2012 D & T UPL Payments - HHC & Non-HHC (for periods 2/1/13-3/31/13 & 4/1/13-3/31/14) | Original Submission: January 31, 2013 | Approved: Pending |
| SPA 13-26 | Preventive Services - NY Medicaid covers and reimburses USPSTF Grade A and B preventive services and approved vaccines recommended by ACIP, and their administration,, without cost-sharing, when provided in a practitioner's office. | Original Submission: March 26, 2013 | Approved: Pending |
| SPA 13-46 | Extend APG Methodology | Original Submission: April 24, 2013 | Approved: Pending |
Additional Service Categories
Disclaimer:
The proposed State Plan Amendments are not final and are subject to further revisions which may not be reflected on this website prior to final approval and inclusion in the State Plan.
