Back to Pending State Plan Amendments by Year

The following are links to State Plan Amendments (SPAs) that were submitted to the Centers for Medicare and Medicaid Services (CMS) for review and are currently pending approval. These SPAs have been submitted, but not yet approved. The final versions may be subject to significant change.

• 26-0002 Proposes to provide direct and indirect graduate medical education payments to be made to district and municipal public hospitals participating in the Medi-Cal managed care program and their affiliated government entities. (Submitted on March 30, 2026)
• 26-0004 Proposes to provide supplemental payments to eligible private hospitals in the Hospital Quality Assurance Fee (HQAF) Program that meet specified requirements and provide hospital inpatient services to Medi-Cal beneficiaries. (Submitted on March 30, 2026)
• 26-0005 Proposes to provide supplemental payments to eligible private hospitals in the HQAF Program that meet specified requirements and provide hospital outpatient services to Medi-Cal beneficiaries. (Submitted on March 30, 2026)
• 26-0006 Proposes to provide supplemental payment add-ons to enhance Medi-Cal payments for qualifying private Ground Emergency Medical Transport services originating from a 911 call center or equivalent public safety answering point. (Submitted on March 30, 2026)
• 26-0007 Proposes to continue time-limited supplemental payments for Emergency Department physician Evaluation and Management services provided in non-academic medical centers. (Submitted on March 30, 2026)
• 26-0009 Proposes to renew the 1915(i) State Plan for an additional five-year period from October 1, 2026, through September 30, 2031. (Submitted on March 27, 2026)
• 26-0011 Proposes to restore Hospital Presumptive Eligibility Program operations and authority to those established under SPA 13-0027. (Submitted on March 26, 2026)
• 26-0014 Proposes to transition the Intermediate Care Facilities for the Developmentally Disabled – Continuous Nursing (ICF/DD-CN) benefit/setting from the 1915(c) Home and Community-Based Alternatives (HCBA) waiver to the Medicaid State Plan. (Submitted on March 27, 2026)
• 26-0025 Proposes to update the geographic area offering Targeted Case Management (TCM) services for the “Children under the Age of 21” TCM group. (Submitted on June 12, 2026)
• 26-0026 Proposes to update the geographic area offering TCM services for the “Medically Fragile Individuals” TCM group. (Submitted on June 12, 2026)
• 26-0027 Proposes to update the geographic area offering TCM services for the “Individuals at Risk of Institutionalization” TCM group. (Submitted on June 12, 2026)
• 26-0028 Proposes to update the geographic area offering TCM services for the “Individuals in Jeopardy of Negative Health or Psycho-social Outcomes” TCM group. (Submitted on June 12, 2026)

Contact Us

You may email your questions and concerns regarding SPAs to PublicInput@dhcs.ca.gov. In your email, please include the SPA number in your question.