​​​2025 Pending State Plan Amendments

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.

• ​25-0002 Proposes to continue the Public Provider Ground Emergency Medical Transport Intergovernmental Transfer (PP-GEMT IGT) Program in calendar year 2025 to continue providing an add-on increase for eligible GEMT services. ​
• 25-0006 A​ttests that it will provide eligible juveniles (under 21 years of age and former foster children ages up to age 26 years) who are post adjudication in a public institution certain screenings and diagnostic services in the 30 days prior to scheduled release, and targeted case management (TCM) in the 30 days leading up to their release and for 30 days after release from a public institution. DHCS seeks an effective date of January 1, 2025.
  
• 25-0007​ Proposes to align the Alternate Benefit Plan with the updates made by SPAs 24-0003, 24-0031, 24-0042, 24-0052, 25-0006, 25-0009, and 25-0014.
  
• 25-0008 Proposes to eliminate the “four walls" limitation for IHS-MOA providers and makes a technical change to the title of psychological assistant.
• 25-0009 Proposes to: (1) add psychological associates as a Prospective Payment System (PPS) billable practitioner type for Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Tribal FQHCs; (2) remove the mandatory change in scope of service request (CSOSR) requirement when newly adding Marriage and Family Therapist (MFT) services as a PPS billable practitioner; and (3) make a technical correction related to intermittent clinic and mobile unit allowable hours of operation.​​
• 25-0012 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. 
• 25-0013​ 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.
• 25-0014 Proposes to add Certified Wellness Coach services as a new preventive service.