Approved State Plan Amendments

All state plan amendments approved since 11/19/2015.

2025

25-0001 Justice Involved Youth  (PDF, 635.45 KB)

25-0006 Increased Add-On Payment for the Rural Hospital Newborn Delivery Program   (PDF, 287.42 KB)

25-0016 Exception to the Four Walls Requirement for Behavioral Health Clinics and Clinics Located in Rural Areas  (PDF, 217.46 KB)

25-0011 Neonatologists and Maternal Fetal Medicine Specialists Rate Increase  (PDF, 278.96 KB)

25-0014 Medication - Assisted Treatment  (PDF, 519.42 KB)

25-0013 Program of All-Inclusive Care for the Elderly (PACE)  (PDF, 1.14 MB)

25-0008 Autism Spectrum Disorder Rate Increase  (PDF, 265.94 KB)

25-0009 Third Party Liability   (PDF, 155.4 KB)

25-0007 Therapeutic Care Model  (PDF, 298.05 KB)

25-0005 Increase in Reimbursement Rate for Dental Codes  (PDF, 511.46 KB)

25-0004 Increase in Reimbursement Rate for Air Ambulance   (PDF, 533.16 KB)

25-0003 Increase in Select Primary Care Codes  (PDF, 516.62 KB)

2024

24-0014 Qualified Residential Treatment Programs (QRTP)  (PDF, 281.22 KB)

24-0012 Supplemental Quality Incentive Payments to Eligible Nursing Facilities   (PDF, 329.62 KB)

24-0007 Increase the Reimbursement Rates for PT, OT, and ST  (PDF, 226.05 KB)

24-0013 Medicaid and CHIP Core Set Reporting  (PDF, 537.83 KB)

24-0010 Payment Driven Patient Model  (PDF, 381.79 KB)  

24-0011 Hospital Medicaid Financing Program  (PDF, 420.68 KB)

24-0009 Disproportionate Share Hospitals  (PDF, 261.34 KB)

24-0006 Rate Increase for PCP, OBGYN, Optometry, LAI  (PDF, 370.07 KB)

24-0008 Community Behavioral Health Rehabilitation Services (CBHRS) Rate Increase   (PDF, 810.02 KB)

24-0004 Dispensing Fee Increase for Independent Pharmacy  (PDF, 224.39 KB)

24-0003 FQHC Reimbursement for Licensed Professional Counselors, Licensed Marriage and Family Therapists,  and Certified Peer Specialists  (PDF, 269.82 KB)

24-0005 Adult Dental  (PDF, 247.72 KB)

24-0002 Expansion of Express Lane Eligibility to Include Childcare and Parental Services, Refugee Cash Assistance, and WIC  (PDF, 322.86 KB)

24-0001 Outpatient Drugs  (PDF, 205.73 KB)

23-0011 Value-Based and Outcome-Based Contracting with Pharmaceutical Manufacturers   (PDF, 254.22 KB)

23-0009 DRG Grouper from Tricare DRG Version 35 to APR DRG Version 40  (PDF, 593.99 KB)

2023

23-0010 Certified Community Behavioral Health Services (CCBHS)  (PDF, 327.02 KB)

23-0002-VLP Citizenship and Non-Citizen Eligibility  (PDF, 553.88 KB)

21-0014 Disproportionate Share Hospital Methodology  (PDF, 342.36 KB)

22-0003 PRTF Per Diem Rate Adjustments  (PDF, 253.95 KB)

22-0006 Behavioral Support Aides  (PDF, 296.16 KB)

22-0007 Disproportionate Share Hospital Methodology  (PDF, 321.61 KB)

22-0008 Eliminate Attestation and Increases Rates for Obstetrics/Gynecology (OB/GYN)  (PDF, 243.83 KB)

22-0009 Update Nursing Home Rates to 2020 Medicaid Cost Report  (PDF, 1.02 MB)

22-0010 Private 911 Ground Ambulance Upper Payment Limit (UPL) Program  (PDF, 237.85 KB)

22-0013 Increase Rate for LTAC and IRF  (PDF, 285.71 KB)

22-0014 Nursing Home Mechanical Ventilator Care Rate Increase  (PDF, 281.16 KB)

23-0001 Disaster Relief – Unwinding  (PDF, 408.27 KB)

23-0003 COVID-19 Treatment  (PDF, 376.8 KB)

23-0004 COVID Testing  (PDF, 360.4 KB)

23-0005 COVID-19 Vaccines and Vaccine Administration  (PDF, 334.68 KB)

23-0006 Pathways 1115 Waiver  (PDF, 282.71 KB)

23-0007 Blood Pressure Monitors  (PDF, 223.46 KB)

23-0008 PRTF Rate Increase  (PDF, 291.72 KB)  

2022

22-0005 Post Partum Waiver  (PDF, 615.33 KB)

22-0001 Medicaid Disaster Relief  (PDF, 384.32 KB)

22-0002 Clinical Trials  (PDF, 176.09 KB)

22-0004 Express Lane Eligibility  (PDF, 241.45 KB)

22-0004 Approved SPA Page  (PDF, 207.58 KB)

22-0005 Non Covered Services  (PDF, 209.02 KB)

22-0011 Dental Rate Increase  (PDF, 296.1 KB)

2021

21-0002 Georgia's Medicaid Disaster Relief.pdf  (PDF, 11.32 MB) (11.32MB)

21-0003 Medication Assisted Treatment  (PDF, 344.24 KB)

21-0004 Hospital Audit Program.pdf  (PDF, 254.58 KB) (254.58KB)

21-0005 Reimbursement for COVID-19 Vaccines - Disaster Relief SPA  (PDF, 354.64 KB) (354.64KB)

21-0006 PCP/OBGYN increase to 2020 Medicare Levels  (PDF, 201.63 KB)

21-0008 Increase Reimbursement for 15 Dental Codes  (PDF, 238.48 KB)

21-0009 Nursing Home Reimbursement Rate Change  (PDF, 462.29 KB)

21-0011 Ground Ambulance Supplemental Payment Program  (PDF, 193.4 KB)

21-0012 Removal of the provision which prohibits a physician from receiving supplemental payments through the Fee-for-Service Physician Upper Payment Limit (UPL) program and the enhanced primary care reimbursement rates simultaneously  (PDF, 227.26 KB)

21-0013 Third Party Liability-Cost Avoidance  (PDF, 138.21 KB)

21-0015 Non-Emergency Medical Transportation  (PDF, 174.31 KB)

21-0016 Lactation Consultants  (PDF, 226.71 KB)

21-0016 Approval Package for State Plan  (PDF, 63.12 KB)

2020

20-0004 Newborn Screening Rate Increase  (PDF, 285.29 KB)

20-0005 Rate Increase for Initial Lead Investigation  (PDF, 174.38 KB)

20-0001 DUR Support Act  (PDF, 2.73 MB)

20-0003 Ambulance Upper Payment Limit (UPL) Supplemental Payment Program  (PDF, 436.14 KB)

20-0008 Silver Diamine Fluoride Reimbursement.pdf  (PDF, 254.61 KB) (254.61KB)

20-0009 Increased Reimbursement for Ventilator Dependent Nursing Facility Residents.pdf  (PDF, 375.77 KB) (375.77KB)

20-0010 Primary Care Code 1% Rate Increase  (PDF, 236.43 KB)

20-0011 Nursing Home Quality Incentive Program.pdf  (PDF, 369.55 KB) (369.55KB)

2019

19-001 IPPS Phase 3  (PDF, 1008.54 KB)

19-002 LTACH & IRF  (PDF, 570.83 KB)

19-004 PRTF Rate Increase  (PDF, 619.6 KB)

19-005 Disproportionate Share Hospital (DSH) Allocation Methodology  (PDF, 1.07 MB)

19-006 GME Payment for CBSs  (PDF, 753.14 KB)

19-008 Hospital Provider Fee Extension (HPF)  (PDF, 684.28 KB)

19-009 Skilled Nursing Facility Rate Increase  (PDF, 754.11 KB)

19-010 Nursing Home Personal Needs Allowance (PNA) Rate Increase  (PDF, 232.03 KB)

19-011 Supplemental Payment for Inpatient Services Rendered in Child and Adolescent Behavioral Health Unit  (PDF, 608.95 KB)

19-012 Per diem Rate Increase for Swing Bed  (PDF, 935.51 KB)

19-013 NF Vent Dependent Resident Rate Increase  (PDF, 947.32 KB)

2018

18-001 GA Former Foster Care Children Out of State .pdf  (PDF, 202.08 KB)  (202.08 KB)

18-002 Supplemental Rebate Agreement Template  (PDF, 1 MB)

18-004 Nursing Home Personal Needs Allowance Rate Increase  (PDF, 293.52 KB)

18-005 Nursing Home 4.5% Rate Increase  (PDF, 1.13 MB)

18-006 Nursing Home Liability Insurance Rate Increase  (PDF, 1001.12 KB)

18-007 Newborn Kick Payment for Rural Hospital with a population of less than 35,000  (PDF, 393.74 KB)

18-009 Commissioner of Human Services waives the first $25,000 of any estate provide  (PDF, 139 KB)

18-010 Hospital Triage Rate Increase  (PDF, 270.93 KB)

2017

17-001 Outpatient Drug Rule  (PDF, 1.07 MB)  (1.07 MB)

17-002 Community Behavioral Health Rehabilitation Services  (PDF, 582.85 KB)  (582.85 KB)

17-003 Nursing Home Ventilator Rate Increase  (PDF, 1.87 MB)  (1.87 MB)

17-005 - Portable X-ray CT Scan  (PDF, 250.34 KB)  (250.34 KB)

17-006 Hospital Provider Fee  (PDF, 792.31 KB)  (792.31 KB)

17-007 Nursing Facility Rate Increase  (PDF, 675.19 KB)  (675.19 KB)

17-008 Primary Facility Rate Increase HB44.pdf  (PDF, 246.44 KB)  (246.44 KB)

17-009 Newborn Add on Fee for Rural Counties.pdf  (PDF, 1.26 MB)  (1.26 MB)

17-010 Nursing Home Rate Increase.pdf  (PDF, 1.19 MB)  (1.19 MB)

17-012 Nursing Home Ventilator  (PDF, 642.11 KB)  (642.11 KB)

17-013 Routine Home Care Hospice rates and Service Intensity Add-On rates (335.57 KB)

17-014 School Nurses Administrative Agreement Update  (PDF, 219 KB) (220 KB)

17-015 Autism Enroll BCBA .pdf  (PDF, 334.97 KB)  (334.97 KB)

2016

16-001 PCP & OBGYN Rate Increase  (PDF, 1.92 MB)  (1.92 MB)

16-002 CIS Rate Increase  (PDF, 260.35 KB)  (260.35 KB)

16-003 Rural-Hospital-Add-on-Payment-for-Deliveries  (PDF, 1.29 MB)  (1.29 MB)

16-004 NH-Vent-Rate-Increase  (PDF, 1.63 MB)  (1.63 MB)

16-005 NH-Rate-Increase  (PDF, 1.53 MB)  (1.53 MB)

16-010 Physician UPL  (PDF, 392.76 KB)

16-015 DPH Newborn Screening Fee Increase   (PDF, 1.06 MB) (1.06 MB)

2015

15-001 FQHC_RHC Reimbursement for purchase of LARCs  (PDF, 99.64 KB)  (99.64 KB)

15-003 Nursing Facilities Rate Increase  (PDF, 3.8 MB)  (3.8 MB)

15-004 Adult Air Ambulance  (PDF, 108.76 KB)  (108.76 KB)

15-005 Inpatient Prospective Payment Services  (PDF, 706 KB)  (706 KB)

15-006 Enhanced Primary Care Svc. Payment  (PDF, 374.65 KB)  (374.65 KB)

15-008 Telehealth and Telemedicine Services  (PDF, 905.45 KB)  (905.45 KB)

15-009 Express Lane Eligibility  (PDF, 91.12 KB)  (91.12 KB)

15-010 FQHC_RHC  (PDF, 136.07 KB)  (136.07 KB)

15-011 IPPS Tricare Grouper  (PDF, 164.75 KB)  (164.75 KB)

15-012 Transportation Telemedicine Facility Sites (430.17 KB)

Prior to 2015

14-001 Family Planning Services  (PDF, 157.81 KB)  (157.81 KB)

14-003 Perinatal Case Management  (PDF, 18.97 MB)  (18.97 MB)

14-006 Georgia Nursing Facilities Rate Increase  (PDF, 494.56 KB)  (494.56 KB)

13-001 State Governor Review  (PDF, 215.99 KB)  (215.99 KB)

13-002 Disproportionate Share Hospital Allocation  (PDF, 416.76 KB)  (416.76 KB)

13-004 Enhanced Primary Care Service Payment  (PDF, 406.21 KB)  (406.21 KB)

13-008 Concurrent Hospice Care  (PDF, 365.51 KB)  (365.51 KB)

13-009 Fair Rental Value  (PDF, 512.64 KB)  (512.64 KB)

13-005 CMS Approval Letter  (PDF, 318.98 KB)  (318.98 KB)

13-006 CMS Approval Letter  (PDF, 1.93 MB)  (1.93 MB)

13-007 FQHC_RHC Increase  (PDF, 182.69 KB)  (182.69 KB)

13-011 Foster Care and Adoption Assistance  (PDF, 318.76 KB)  (318.76 KB)

13-012 Care Payment for Private Inpatient Hospitals  (PDF, 137.36 KB)  (137.36 KB)

13-013 Care Payments for Private Outpatient Hospitals  (PDF, 247.57 KB)  (247.57 KB)

13-014 Pregnancy Related & Postpartum Services  (PDF, 73.38 KB)  (73.38 KB)

13-015 ABD Medical Coordination  (PDF, 224.55 KB)  (224.55 KB)

13-016 MAGI Eligibility & Methods Group  (PDF, 1.56 MB)  (1.56 MB)

13-0017 Establish 2001 _f_ Group  (PDF, 388.4 KB)  (388.4 KB)

13-018 Eligibility Process Group  (PDF, 1.71 MB)  (1.71 MB)

13-0019 Non-Financial Eligibility Group  (PDF, 1.13 MB)  (1.13 MB)

13-0020 MAGI- Based Eligibility groups  (PDF, 1.43 MB)  (1.43 MB)

13-0021 Eligibility Process  (PDF, 493.73 KB)  (493.73 KB)

13-022 MAGI Income Methodology  (PDF, 73.67 KB)  (73.67 KB)

13-023 Residency  (PDF, 141.61 KB)  (141.61 KB)

13-0024 Citizenship & Immigration Status  (PDF, 142.09 KB)  (142.09 KB)

13-025 XXI Medicaid Expansion  (PDF, 73.03 KB)  (73.03 KB)

13-026 Tobacco Cessation Counseling Service  (PDF, 136.02 KB)  (136.02 KB)

13-027 Inpatient Hospital Prospective Payment Services (395.89 KB)

13-0028 Hospital Presumptive Eligibility  (PDF, 258.1 KB)  (258.1 KB)

12-001 Medicaid Recovery Audit Program  (PDF, 428.09 KB)  (428.09 KB)

12-002 Tobacco Cessation  (PDF, 195.32 KB)  (195.32 KB)

12-003 Nursing Home Reimbursement  (PDF, 2.52 MB)  (2.52 MB)

12-004 Provider Screening and Enrollment  (PDF, 417.85 KB)  (417.85 KB)

12-005 Nursing Home Reimbursement (578.15 KB)

11-001 Disproportionate Share Hospitals  (PDF, 281.15 KB)  (281.15 KB)

11-002 Express Lane Eligibility  (PDF, 212.8 KB)  (212.8 KB)

11-003 Foreign Payment Prohibition  (PDF, 97.82 KB)  (97.82 KB)

11-004 Freestanding Birth Centers  (PDF, 351.44 KB)  (351.44 KB)

11-005 Hospital Acquired Conditions (583.77 KB)

11-006 Disproportionate Share Hospitals  (PDF, 700.44 KB)  (700.44 KB)

11-007 Community Behavioral Health  (PDF, 3.24 MB)  (3.24 MB)

11-008 GBHC Termination  (PDF, 402.54 KB)  (402.54 KB)

10-019 Medicaid Recovery Audit Program  (PDF, 1.23 MB)  (1.23 MB)