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Proposed State Plan Amendments

These Proposed SPAs would change statewide methods and standards for Medicaid payment rates. All of these SPAs require a Public Notice prior to submission to CMS. This page provides all SPA Public Notices for 2018. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages linked below. 

Public Notices for 2018 Proposed State Plan Amendments

18-012 Which seeks to make a technical correction to the approved state plan amendment (17-004) which allows supplemental payments to be made to the specified California private hospitals up to the specified up to the aggregate upper payment limit for the period of January 1, 2017, through June 30, 2019.
18-005 Authorizes a change in the rate development methodology for the Program of All-Inclusive Care for the Elderly (PACE) capitation payments
18-004 Proposed state plan amendment to authorize a time-limited Quality Assurance Fee program and reimbursement add-on for Ground Emergency Medical Transports provided by emergency medical transport providers.
18-003 Proposed state plan amendment clarifying reimbursement policies for federally qualified health centers (FQHC) and rural health clinics (RHC) and adding marriage and family therapists as a new FQHC/RHC billable provider.


18-002 Removes prior authorization for allergy injections and adds Marriage and Family Therapists (MFTs) as a billable provider for Federally Qualified Health Centers and Rural Health Clinics.

Contact Us

You may email your questions and concerns regarding State Plan Amendments (SPAs) to  In your email, please include the SPA number in question. 


NOTE: Links on this page are documents in Adobe Acrobat Document Format (PDF); unless indicated are smaller than 2MB. PDF documents require Adobe Reader. Install or upgrade to the latest version of Adobe Reader.
Last modified on: 2/28/2018 2:48 PM