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​​​2025 Appr​​​oved State Plan Amendments

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The following attachm​​​​ents 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 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.​

Last modified date: 9/15/2025 11:14 AM