Public Notices for 2026 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.
- 26-0001 and SPA Pages Proposes to update the DHCS dental fee schedule and rates as published in the Medi-Cal Dental Provider Handbook, in Section 5, Manual of Criteria and Schedule of Maximum Allowances. (Released December 9, 2025)
- 26-0001 Addendum Updates for descriptions of CDT codes and the effective date. (Released December 18, 2025)
- 26-0004 Proposes to provide supplemental payments for hospital inpatient services to eligible hospitals in the Hospital Quality Assurance Fee (HQAF) program up to the federal upper payment limit. (Released December 30, 2025)
- 26-0005 Proposes to provide supplemental payments for hospital outpatient services to eligible hospitals in the HQAF program up to the federal upper payment limit. (Released December 30, 2025)
- 26-0006 Proposes to provide supplemental payment Uniform Dollar Increase reimbursement add-on increases to enhance Medi-Cal payments for qualifying private GEMT services originating from a 911 call center or equivalent public safety answering for dates of service from January 1, 2026, through June 30, 2026. (Released December 30, 2025)
- 26-0007 Proposes to continue time-limited supplemental
payments for Emergency Department Physician Evaluation & Management Services, effective January 1, 2026, through June 30, 2026. (Released December 30, 2025)
