2025 Approved State Plan Amendments
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The following attachments are amendments to the California State Plan that were recently approved by the Centers for Medicare and Medicaid Services (CMS). Stakeholders can update their copies by following the links and instructions attached to the documents.
- 25-0008 Eliminates the “four walls" limitation for IHS-MOA providers and makes a technical change to the title of psychological assistant.
- 25-0014 Adds Certified Wellness Coach services as a new preventive service.
- 25-0017 Updates the geographic area offering Targeted Case Management (TCM) services for the “Children under the Age of 21” TCM group.
- 25-0018 Updates the geographic area offering TCM services for the “Medically Fragile Individuals” TCM group.
- 25-0019 Updates the geographic area offering TCM services for the “Individuals at Risk of Institutionalization” TCM group.
- 25-0020 Updates the geographic area offering TCM services for the “Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes” TCM group.
- 25-0021 Updates the geographic area offering TCM services for the “Individuals with a Communicable Disease” TCM group.
- 25-0023 Adds local educational agencies and public institutions of higher education to the list of eligible providers that can supervise Community Health Workers (CHWs). In addition, this SPA clarifies the existing policy that any CHW certificate of completion that meets the curricula outlined in the State Plan is acceptable regardless of the issuer.
- 25-0032 Makes technical edits to clarify the list of providers for BHT by removing duplicate listings of Board Certified Behavior Analysts (BCBAs) and Behavior Management Consultants from the list of Qualified Autism Service (QAS) Professionals.