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)
- 25-0007 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)
- 25-0012 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)
- 25-0016 and SPA Pages Proposes to establish the Medi-Cal Fee-For-Service reimbursement rate methodology for Community Health Worker services, billed using Healthcare Common Procedure Coding System codes that are not Current Procedural Terminology codes. (Released March 27, 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)
