Public Notices for 2025 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 2025 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.
- 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. (Released December 10, 2024)
- 25-0003 Proposes to continue and increase supplemental payments for Ground Emergency Medical Transportation (GEMT). (Released June 26, 2025)
- 25-0005 Proposes to implement supplemental payments for Emergency Department Physician Evaluation & Management services. (Released June 26, 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. (Released March 11, 2025)
- 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. (Released December 20, 2024)
- 25-0009 Addendum Proposes to clarify provision (1) from the original public notice. (Released December 30, 2024)
- 25-0009 Addendum Amended State Plan pages are released for public review and input. (Released February 24, 2025)
- 25-0010 and SPA Pages Proposes to extend and update the payment amounts for the Supplemental Reimbursement for Qualified Private
Hospitals Program to June 30, 2026. (Released May 30, 2025)
- 25-0011 and SPA Pages Proposes to extend the Supplement Reimbursement for qualified Non-Designated Public Hospitals (NDPHs) Program to June 30, 2026. (Released May 29, 2025)
- 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. (Released December 31, 2024)
- 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. (Released December 31, 2024)
- 25-0013 Addendum Clarifies language from the original public notice release. (Released March 21, 2025)
- 25-0014 Proposes to add Certified Wellness Coach services as a preventive service. (Released December 31, 2024)
- 25-0014 Addendum Amended State Plan pages are released for public review and input. (Released February 24, 2025)
- 25-0022 Proposes to update the Medi-Cal reimbursement methodology for State Fiscal Year 2025-26 Diagnosis Related Group payments. (Released June 25, 2025)
- 25-0022 Addendum Update the Medi-Cal reimbursement methodology for State Fiscal Year SFY) 2025-26 Diagnosis Related Group (DRG) Payments (Released July 3, 2025)
- 25-0026 and SPA Pages Link 1, Link 2, and Link 3 Proposes to transition the Intermediate Care Facilities for the Developmentally Disabled - Continuous Nursing benefit/setting from the 1915(c) Home and Community-Based Alternatives waiver to the State Plan as a Long-Term Care benefit/setting. (Released May 12, 2025)
- 25-0026 Addendum Updates for the add-on amounts and revised reimbursement pages. (Released May 23, 2025)
- 25-0028 Seeks federal authority to establish Medi-Cal FFS Fee Schedule rates for Behavioral Health Treatment services, effective for dates of service on or after July 1, 2025. (Released June 24, 2025)
BH-CONNECT Initiative
- Transitional Rent Payment Model Proposes the Transitional Rent draft payment model and draft schedule of reimbursable maximum payments and administrative fees. (Released May 29, 2025)
