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 Xav kom txuas ntxiv qhov kev pab cuam Public Provider Ground Emergency Medical Transport Intergovernmental Transfer (PP-GEMT IGT) hauv xyoo 2025 kom txuas ntxiv muab kev nce ntxiv rau cov kev pabcuam GEMT uas tsim nyog. (Tau tso tawm rau lub Kaum Ob Hlis 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 Cov Kev Hloov Kho Ntxiv rau cov nqi ntxiv. (Tau tso tawm Lub Xya Hli 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 Ntxiv Qhia kom nce cov nyiaj them ntxiv rau GEMT.  (Tau tso tawm thaum Lub Peb Hlis 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 Xav kom hloov kho Txoj Kev Npaj Nyiaj Pab Lwm Txoj (ABP) nrog rau cov kev hloov tshiab uas SPAs 24-0003, 24-0031, 24-0042, 24-0052, 25-0006, 25-0009, thiab 25-0014 tau ua. (Tau tso tawm thaum Lub Peb Hlis 11, 2025)​​ 
• 25-0009 Npaj kom: (1) ntxiv cov neeg koom tes kho mob puas siab puas ntsws ua hom kws kho mob uas them tau raws li Prospective Payment System (PPS) rau Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), thiab Tribal FQHCs; (2) tshem tawm qhov kev hloov pauv uas yuav tsum tau ua hauv qhov kev thov kev pabcuam (CSOSR) thaum tshiab ntxiv cov kev pabcuam Marriage and Family Therapist (MFT) ua tus kws kho mob uas them tau raws li PPS; thiab (3) kho qhov teeb meem txog kev kho mob tsis tu ncua thiab cov sijhawm ua haujlwm ntawm chav kho mob txawb. (Tau tso tawm rau lub Kaum Ob Hlis 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 Cov nplooj ntawv Ntxiv Ntxiv Hloov Kho Lub Xeev Lub Hom Phiaj tau tso tawm rau pej xeem kev tshuaj xyuas thiab kev tawm tswv yim. (Tshaj tawm Lub Ob Hlis 24, 2025)​​ 
• 25-0010 Npaj kom txuas ntxiv Cov Nyiaj Them Ntxiv rau Cov Tsev Kho Mob Tsim Nyog Tsim Nyog rau Lub Rau Hli 30, 2026. (Tshaj tawm lub Tsib Hlis 30, 2025)​​ 
• 25-0010 Cov Lus Qhia Ntxiv Hloov kho cov nqi them ntxiv. (Tau tso tawm rau lub Kaum Ib Hlis 17, 2025)​​ 
• 25-0011 Pom zoo kom txuas ntxiv qhov Kev Them Nyiaj Ntxiv rau Cov Tsev Kho Mob Tsis Tsim Nyog Tsim Nyog (NDPHs) rau lub Rau Hli 30, 2026, thaum lub sijhawm qhov kev zov me nyuam yuav poob. (Tshaj tawm lub Tsib Hlis 29, 2025)​​ 
• 25-0012 Npaj siab muab kev them nyiaj ntxiv rau cov tsev kho mob ntiag tug uas tsim nyog hauv Txoj Haujlwm Pabcuam Kev Ntsuam Xyuas Zoo ntawm Tsev Kho Mob (HQAF) uas ua tau raws li cov kev cai tshwj xeeb thiab muab cov kev pabcuam pw hauv tsev kho mob rau cov neeg tau txais Medi-Cal. (Tau tso tawm rau lub Kaum Ob Hlis 31, 2024)​​ 
• 25-0013 Npaj siab muab nyiaj ntxiv rau cov tsev kho mob ntiag tug uas tsim nyog hauv HQAF Program uas ua tau raws li cov kev cai tshwj xeeb thiab muab cov kev pabcuam sab nraud tsev kho mob rau cov neeg tau txais Medi-Cal. (Tau tso tawm rau lub Kaum Ob Hlis 31, 2024)​​ 
• 25-0013 Cov Lus Ntxiv Qhia meej txog cov lus los ntawm daim ntawv tshaj tawm pej xeem thawj zaug. (Tau tso tawm thaum Lub Peb Hlis 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 Cov nplooj ntawv Ntxiv Ntxiv Hloov Kho Lub Xeev Lub Hom Phiaj tau muab tso tawm rau pej xeem tshuaj xyuas thiab tawm tswv yim. (Tshaj tawm Lub Ob Hlis 24, 2025)​​ 
• 25-0015 Npaj siab muab kev them nyiaj ncaj qha thiab tsis ncaj qha rau kev kawm tiav qib siab (GME) rau cov tsev kho mob pej xeem hauv nroog thiab hauv nroog (DMPHs) uas koom nrog hauv Medi-Cal managed care program thiab lawv cov koom haum tsoomfwv koom tes. (Tau tso tawm rau lub Kaum Ob Hlis 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 Xav kom hloov kho txoj kev them nyiaj rov qab ntawm Medi-Cal rau xyoo nyiaj txiag ntawm lub xeev (SFY) 2025-26 Kev kuaj mob sib raug zoo (DRG). (Tau tso tawm rau lub Rau Hli 25, 2025)​​ 
• 25-0022 Ntxiv Ntxiv Hloov kho txoj kev them rov qab Medi-Cal rau SFY 2025-26 DRG Kev Them Nyiaj. (Tau tso tawm rau lub Xya Hli 3, 2025)​​ 
• 25-0022 Addendum Tshem tawm cov noob kev kho mob carve-out codes los ntawm Kev Pabcuam Them Se Separately. (Tshaj tawm Lub Xya Hli 24, 2025)​​ 
• 25-0022 Cov Nplooj Ntxiv thiab SPA Pom zoo kom ntxiv cov lej kho mob gene carve-out J3392 Exagamglogene autotemcel (Casgevy). (Tau tso tawm rau lub Cuaj Hlis 29, 2025)​​ 
• 25-0023 Xav kom ntxiv cov koom haum kev kawm hauv zos (LEAs) thiab cov tsev kawm ntawv qib siab rau pej xeem (IHEs) rau hauv daim ntawv teev cov chaw muab kev pab uas tsim nyog uas tuaj yeem saib xyuas cov Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog (CHWs). (Tau tso tawm rau lub Cuaj Hlis 3, 2025)​​ 
• 25-0026 thiab SPA Nplooj Txuas 1, Txuas 2, thiab Txuas 3 Xav kom hloov pauv qhov kev pab cuam/chaw rau Kev Saib Xyuas Qib Nruab Nrab rau Cov Neeg Muaj Kev Tsis Taus Hauv Kev Loj Hlob - Kev Saib Xyuas Neeg Mob Mus Ntxiv los ntawm 1915 (c) Kev zam txoj kev xaiv hauv tsev thiab hauv zej zog mus rau Txoj Kev Npaj ntawm Lub Xeev ua qhov kev pab cuam/chaw rau Kev Saib Xyuas Mus Ntev. (Tau tso tawm rau lub Tsib Hlis 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 Nrhiav tsoomfwv txoj cai los tsim Medi-Cal FFS Cov Nqi Them Nqi rau cov kev pabcuam Kev Noj Qab Haus Huv Kev Noj Qab Haus Huv, siv tau rau hnub ua haujlwm rau lossis tomqab Lub Xya Hli 1, 2025. (Tshaj tawm Lub Rau Hli 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 Xav kom txuas ntxiv PP-GEMT IGT Program hauv xyoo (CY) 2026 kom txuas ntxiv muab kev nce ntxiv rau cov kev pabcuam GEMT uas tsim nyog. (Tau tso tawm thaum Lub Yim Hli 25, 2025)​​ 
• 25-0031 Xav kom ABP sib haum nrog cov kev hloov pauv rau Txoj Kev Npaj ntawm Lub Xeev uas SPA 25-0023 tau ua, uas yuav ntxiv LEAs ua cov neeg muab kev pabcuam saib xyuas CHWs. (Tau tso tawm rau lub Cuaj Hlis 8, 2025)​​ 
• 25-0038 Npaj kom ntxiv Cov Kws Kho Mob rau cov npe ntawm cov kws kho mob uas tsim nyog tau txais kev kho mob nyob rau hauv Children and Youth Behavioral Health Initiative Fee Schedule program, uas yog ib feem ntawm Tsev Kawm Ntawv Kev Pabcuam. (Tshaj tawm lub Kaum Ob Hlis 5, 2025)​​ 
• 25-0039 Pom zoo kom xaiv tawm thiab txiav tawm kev siv cov nyiaj them ua ntej kev tuag raws li Txoj Cai The Se Equity and Fiscal Responsibility Act. (Tshaj tawm lub Kaum Ob Hlis 4, 2025)​​ 
• 25-0040 Xav kom siv cov kev hloov kho zaum kawg vim yog kev hloov pauv tus nqi, ntxiv Tus Kws Qhia ua hom kev muab kev pabcuam tshiab hauv qab Cov Neeg Pab Sib Txuas Lus, thiab ntxiv Cov Kev Pabcuam Txhawb Nqa Deb ua kev pabcuam tshiab. Saib daim ntawv hloov kho xyoo 1915 (i) ntawm no kom paub meej ntxiv. (Tau tso tawm rau lub Kaum Hli 10, 2025)​​ 
• 25-0044 Tawm tswv yim kom phim ABP nrog cov kev hloov pauv uas tau ua rau Txoj Kev Npaj ntawm Lub Xeev los ntawm SPAs 25-0037, 25-0038, thiab 25-0043. (Tau tso tawm rau lub Kaum Ob Hlis 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)​​