Rov qab mus rau Lub Xeev Txoj Kev Npaj Hloov Kho los ntawm Xyoo​​ 

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 Qhia kom txuas ntxiv thiab nce nyiaj ntxiv rau Kev Thauj Mob Xwm Ceev (GEMT). (Tshaj tawm Lub Rau Hli 26, 2025)​​ 
• 25-0003 Addendum Updates for the add-on amounts. (Released July 3, 2025)​​ 
• 25-0003 Addendum Bifurcates SPA 25-0003 rau hauv SPAs 25-0003-A thiab 25-0003-B. (Tshaj tawm lub yim hli ntuj 12, 2025)​​ 
• 25-0003-B Addendum Proposes to increase supplemental payments for GEMT.  (Released March 27, 2026)​​ 
• 25-0005 Qhia kom siv nyiaj ntxiv rau Lub Tsev Haujlwm Saib Xyuas Kev Kub Ntxhov Tus Kws Kho Mob Kev Ntsuas & Kev Tswj Xyuas. (Tshaj tawm Lub Rau Hli 26, 2025)​​ 
• 25-0007 Proposes to align the Alternate Benefit Plan (ABP) 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 Cov Lus Qhia Ntxiv Qhia meej txog cov lus qhia (1) los ntawm daim ntawv ceeb toom rau pej xeem thawj zaug. (Tau tso tawm rau lub Kaum Ob Hlis 30, 2024​​ 
• 25-0009 Addendum Amended State Plan pages are released for public review and input. (Released February 24, 2025)​​ 
• 25-0010 Proposes to extend the Supplemental Reimbursement for Qualified Private Hospitals Program to June 30, 2026. (Released May 30, 2025)​​ 
• 25-0010 Addendum Updates the supplemental payment amounts. (Released November 17, 2025)​​ 
• 25-0011 Proposes to extend extend the Supplemental Reimbursement for the Qualified Non-Designated Public Hospitals (NDPHs) program to June 30, 2026, at which time the program will sunset. (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 Xav kom ntxiv cov kev pabcuam Certified Wellness Coach ua ib qho kev pabcuam tiv thaiv. (Tau tso tawm rau lub Kaum Ob Hlis 31, 2024)​​ 
• 25-0014 Addendum Amended State Plan pages are released for public review and input. (Released February 24, 2025)​​ 
• 25-0015 Proposes to provide direct and indirect graduate medical education (GME) payments to be made to district and municipal public hospitals (DMPHs) participating in the Medi-Cal managed care program and their affiliated government entities. (Released December 12, 2025)​​ 
• 25-0016 thiab SPA Nplooj Ntawv Pom zoo kom tsim kom muaj tus txheej txheem them rov qab Medi-Cal FFS rau cov kev pabcuam ntawm Cov Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog, uas siv cov lej Healthcare Common Procedure Coding System uas tsis yog cov lej Current Procedural Terminology. (Tau tso tawm thaum Lub Peb Hlis 27, 2025)​​ 
• 25-0022 Proposes to update the Medi-Cal reimbursement methodology for State Fiscal Year (SFY) 2025-26 Diagnosis Related Group (DRG) payments. (Released June 25, 2025)​​ 
• 25-0022 Addendum Updates the Medi-Cal reimbursement methodology for SFY 2025-26 DRG Payments. (Released July 3, 2025)​​ 
• 25-0022 Addendum Remove gene therapy carve-out codes from the Separately Payable Services. (Released July 24, 2025)​​ 
• 25-0022 Addendum and SPA Pages Proposes to add gene therapy carve-out codes J3392 Exagamglogene autotemcel (Casgevy). (Released September 29, 2025)​​ 
• 25-0023 Proposes to add local educational agencies (LEAs) and public institutions of higher education (IHEs) to the list of eligible providers that can supervise Community Health Workers (CHWs). (Released September 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 Ntxiv Ntxiv Hloov Tshiab rau cov nyiaj ntxiv thiab cov nplooj ntawv them rov qab kho dua. (Tshaj tawm lub Tsib Hlis 23, 2025)​​ 
• 25-0027 Xav kom ntxiv cov lus hnub poob rau qhov kev pab cuam Supplemental Reimbursement for Publicly Owned or Operated Ground Medical Transportation Providers. (Tau tso tawm rau lub Cuaj Hlis 9, 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)​​ 
• 25-0028 Cov Nplooj Ntawv Ntxiv thiab SPA Muab cov nqi teev tseg rau ntawm nplooj ntawv qauv ntawm Txoj Kev Npaj ntawm Lub Xeev. (Tau tso tawm thaum Lub Yim Hli 28, 2025)​​ 
• 25-0030 Proposes to continue the PP-GEMT IGT Program in calendar year (CY) 2026 to continue providing an add-on increase for eligible GEMT services. (Released August 25, 2025)​​ 
• 25-0031 Proposes to align the ABP with changes to the State Plan made by SPA 25-0023, which will add LEAs as supervising providers of CHWs. (Released September 8, 2025)​​ 
• 25-0038 Proposes to add Clinical Trainees to the list of qualified eligible practitioners within the Children and Youth Behavioral Health Initiative Fee Schedule program, as a part of School-Linked Services. (Released December 5, 2025)​​ 
• 25-0039 Proposes to opt out of and discontinue the use of imposing pre-death liens under the Tax Equity and Fiscal Responsibility Act. (Released December 4, 2025)​​ 
• 25-0040 Proposes to implement final adjustments as a result of rate reform, adds Trainer as a new provider type under Communication Aides, and adds Remote Support Services as a new service. See 1915(i) draft amendment here for more specific details. (Released October 10, 2025)​​ 
• 25-0044 Proposes to align the ABP with changes made to the State Plan by SPAs 25-0037, 25-0038, and 25-0043. (Released December 4, 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)​​