Public Notices for 2026 Proposed State Plan Amendments
Back to Proposed State Plan Amendments by Year
These proposed State Plan Amendments (SPAs) would change statewide methods and standards for Medicaid payment rates. All of these SPAs require a Public Notice prior to submission to the Centers for Medicare & Medicaid Services (CMS). All 2026 Public Notice announcements will be published on this webpage when they are available. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages. For any questions or concerns, please contact PublicInput@dhcs.ca.gov.
- 26-0001 and SPA Pages Proposes to update the DHCS dental fee schedule and rates as published in the Medi-Cal Dental Provider Handbook, in Section 5, Manual of Criteria and Schedule of Maximum Allowances. (Released December 9, 2025)
- 26-0001 Addendum Updates for descriptions of CDT codes and the effective date. (Released December 18, 2025)
- 26-0002 Addendum Originally released as SPA 25-0015 Public Notice. (Released March 25, 2026)
- 26-0004 Proposes to provide supplemental payments for hospital inpatient services to eligible hospitals in the Hospital Quality Assurance Fee (HQAF) program up to the federal upper payment limit. (Released December 30, 2025)
- 26-0004 Addendum Updates the annual aggregate expenditures for inpatient services. (Released March 27, 2026)
- 26-0005 Proposes to provide supplemental payments for hospital outpatient services to eligible hospitals in the HQAF program up to the federal upper payment limit. (Released December 30, 2025)
- 26-0005 Addendum Updates the annual aggregate expenditures for outpatient services. (Released March 27, 2026)
- 26-0006 Proposes to provide supplemental payment Uniform Dollar Increase reimbursement add-on increases to enhance Medi-Cal payments for qualifying private GEMT services originating from a 911 call center or equivalent public safety answering for dates of service from January 1, 2026, through June 30, 2026. (Released December 30, 2025)
- 26-0006 Addendum Updates the effective date period and the supplemental payment amounts. (Released March 27, 2026)
- 26-0007 Proposes to continue time-limited supplemental payments for Emergency Department Physician Evaluation & Management Services, effective January 1, 2026, through June 30, 2026. (Released December 30, 2025)
- 26-0007 Addendum Updates the effective date period and the supplemental payment amounts. (Released March 27, 2026)
- 26-0008 Proposes to update the Local Educational Agency Medi-Cal Billing Option Program (LEA BOP) requirements. (Released May 14, 2026)
- 26-0009 Proposes to present rate changes and present new methodologies, provider types, and services from SPA 25-0040. See 1915(i) draft renewal for more specific details. (Released February 2, 2026)
- 26-0015 and SPA Pages Proposes to extend and update the payment amounts for the Supplemental Reimbursement for Qualified Private Hospitals Program to June 30, 2027. (Released June 1, 2026)
- 26-0017 Proposes to update Acute Psychiatric Inpatient Hospital rates. (Released June 30, 2026)
- 26-0019 and SPA Pages Proposes to adjust certain Medi-Cal Fee-For-Service (FFS) reimbursement rates for clinical laboratory or laboratory services, effective July 1, 2026. (Released June 5, 2026)
- 26-0020 Proposes to update the Medi-Cal reimbursement methodology for State Fiscal Year (SFY) 2026-27 Diagnosis Related Group (DRG) payments. (Released June 30, 2026)
- 26-0021 Proposes to renew the Ground Emergency Medical Transportation (GEMT) Quality Assurance Fee (QAF) program and the reimbursement add-on provided for Medi-Cal ground emergency medical transports, effective for dates of service from July 1, 2026, through June 30, 2027. (Released June 30, 2026).
- 26-0029 Proposes to provide supplemental payments for primary and specialty care services. (Released June 30, 2026).
- 26-0032 Proposes to establish rates for High Fidelity Wraparound services. (Released May 14, 2026)
- 26-0033 ABP 26-0034 Proposes to clarify Behavioral Health Treatment benefit policy in the Medicaid State Plan. (Released June 30, 2026)
- 26-0035 Proposes to clarify hospice benefit policy in the Medicaid State Plan. (Released June 30, 2026)
Clinic Public Notice
- FQHC and RHC State-Only Reimbursement Changes: Proposes to change reimbursement for State-Only services transitioning from the Prospective Payment System (PPS) to non-PPS methodologies effective July 1, 2026. (Released April 24, 2026)