Non-Institutional Services - Status

2018 SPAs

SPA Number Description Original Submission and Date Approved Submission and Date
SPA 18–04 January 2018 APG Updates – Freestanding Clinics Original Submission: March 19, 2018 Approved: July 24, 2018
SPA 18–05 January 2018 Hospital OP APG Updates Original Submission: March 19, 2018 Approved: December 14, 2018
SPA 18–07 Article 16 Minimum Wage Original Submission: March 20, 2018 Approved: July 30, 2018
SPA 18–09 Minimum Wage and COLA (OMH) Original Submission: March 22, 2018 Approved: Pending
SPA 18–13 Primary Care Offsite Physician Services Original Submission: March 13, 2018 Approved: May 21, 2018
SPA 18–17 Targeted Case Management – Early Intervention Original Submission: September 28, 2018 Approved: Pending
SPA 18–21 Physical therapy 40 visit limit effective 7/1/18 forward. Original Submission: September 27, 2018 Approved: December 19, 2018
SPA 18–22 Revise Pharmacy Dispensing Fee Original Submission: June 22, 2018 Approved: September 5, 2018
SPA 18–23 Minimum Wage – Hospice Non–Residence Original Submission: June 26, 2018 Approved: September 7, 2018
SPA 18–27 2018 Outpatient UPL Payments Original Submission: June 27, 2018 Approved: Pending
SPA 18–29 2018 Clinic UPL Original Submission: June 27, 2018 Approved: Pending
SPA 18–30 2018 Voluntary UPL Payments – Outpatient Original Submission: June 22, 2018 Approved: Pending
SPA 18–39 Early Intervention–Services Original Submission: September 27, 2018 Approved: Pending
SPA 18–40 Part B Coinsurance for IPSIDD and Article 28 claims for TBI Members Original Submission: June 29, 2018 Approved: September 21, 2018
SPA 18–43 Telehealth Store and Forward Technology and Remote Patient Monitoring Original Submission: June 27, 2018 Approved: July 18, 2018
SPA 18–45 Minimum Wage Hospice Additional funding Original Submission: June 22, 2018 Approved: September 12 2018
SPA 18–47 North Country Homes (LHCSA–Safety Net/VAP) Original Submission: June 22, 2018 Approved: August 10 2018
SPA 18–48 Article 16 Clinic 3.25% Original Submission: June 27, 2018 Approved: August 10, 2018
SPA 18–51 Health Home Kids Outreach Original Submission: June 26, 2018 Approved: August 13, 2018
SPA 18–52 EPSDT Expansion for Behavioral Health Kids – Other Licensed Practitioner Original Submission: September 27, 2018 Approved: December 17, 2018
SPA 18–53 EPSDT Expansion for Behavioral Health Kids: Rehabilitation Services Original Submission: September 27, 2018 Approved: December 17, 2018
SPA 18–55 July 2018 APG Updates – Freestanding Clinics Original Submission: September 27, 2018 Approved: October 19, 2018
SPA 18–56 July 2018 APG Updates – Hospital OP Original Submission: September 27, 2018 Approved: December 14, 2018
SPA 18–58 OPWDD MSC Original Submission: September 28, 2018 Approved: February 28, 2019
SPA 18–67 Clinic Saftey Net Payment for Non-FQHCs Original Submission: December 31, 2018 Approved: Pending

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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.