Approved State Plan Amendments

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

2022

Download this pdf file. 22-0001 Medicaid Disaster Relief

Download this pdf file. 22-0002 Clinical Trials

Download this pdf file. 22-0004 Express Lane Eligibility

Download this pdf file. 22-0004 Approved SPA Page

Download this pdf file. 22-0005 Non Covered Services

2021

Download this pdf file. 21-0002 Georgia's Medicaid Disaster Relief.pdf (11.32MB)

Download this pdf file. 21-0003 Medication Assisted Treatment

Download this pdf file. 21-0004 Hospital Audit Program.pdf (254.58KB)

Download this pdf file. 21-0005 Reimbursement for COVID-19 Vaccines - Disaster Relief SPA (354.64KB)

Download this pdf file. 21-0006 PCP/OBGYN increase to 2020 Medicare Levels

Download this pdf file. 21-0008 Increase Reimbursement for 15 Dental Codes

Download this pdf file. 21-0009 Nursing Home Reimbursement Rate Change

Download this pdf file. 21-0011 Ground Ambulance Supplemental Payment Program

Download this pdf file. 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

Download this pdf file. 21-0013 Third Party Liability-Cost Avoidance

Download this pdf file. 21-0015 Non-Emergency Medical Transportation

Download this pdf file. 21-0016 Lactation Consultants

Download this pdf file. 21-0016 Approval Package for State Plan

2020

Download this pdf file. 20-0001 DUR Support Act

Download this pdf file. 20-0003 Ambulance Upper Payment Limit (UPL) Supplemental Payment Program

Download this pdf file. 20-0008 Silver Diamine Fluoride Reimbursement.pdf (254.61KB)

Download this pdf file. 20-0009 Increased Reimbursement for Ventilator Dependent Nursing Facility Residents.pdf (375.77KB)

Download this pdf file. 20-0010 Primary Care Code 1% Rate Increase

Download this pdf file. 20-0011 Nursing Home Quality Incentive Program.pdf (369.55KB)

2019

Download this pdf file. 19-001 IPPS Phase 3

Download this pdf file. 19-002 LTACH & IRF

Download this pdf file. 19-004 PRTF Rate Increase

Download this pdf file. 19-005 Disproportionate Share Hospital (DSH) Allocation Methodology

Download this pdf file. 19-006 GME Payment for CBSs

Download this pdf file. 19-008 Hospital Provider Fee Extension (HPF)

Download this pdf file. 19-009 Skilled Nursing Facility Rate Increase

Download this pdf file. 19-010 Nursing Home Personal Needs Allowance (PNA) Rate Increase

Download this pdf file. 19-011 Supplemental Payment for Inpatient Services Rendered in Child and Adolescent Behavioral Health Unit

Download this pdf file. 19-012 Per diem Rate Increase for Swing Bed

Download this pdf file. 19-013 NF Vent Dependent Resident Rate Increase

2018

Download this pdf file. 18-001 GA Former Foster Care Children Out of State .pdf  (202.08 KB)

Download this pdf file. 18-002 Supplemental Rebate Agreement Template

Download this pdf file. 18-004 Nursing Home Personal Needs Allowance Rate Increase

Download this pdf file. 18-005 Nursing Home 4.5% Rate Increase

Download this pdf file. 18-006 Nursing Home Liability Insurance Rate Increase

Download this pdf file. 18-007 Newborn Kick Payment for Rural Hospital with a population of less than 35,000

Download this pdf file. 18-009 Commissioner of Human Services waives the first $25,000 of any estate provide

Download this pdf file. 18-010 Hospital Triage Rate Increase

2017

Download this pdf file. 17-001 Outpatient Drug Rule  (1.07 MB)

Download this pdf file. 17-002 Community Behavioral Health Rehabilitation Services  (582.85 KB)

Download this pdf file. 17-003 Nursing Home Ventilator Rate Increase  (1.87 MB)

Download this pdf file. 17-005 - Portable X-ray CT Scan  (250.34 KB)

Download this pdf file. 17-006 Hospital Provider Fee  (792.31 KB)

Download this pdf file. 17-007 Nursing Facility Rate Increase  (675.19 KB)

Download this pdf file. 17-008 Primary Facility Rate Increase HB44.pdf  (246.44 KB)

Download this pdf file. 17-009 Newborn Add on Fee for Rural Counties.pdf  (1.26 MB)

Download this pdf file. 17-010 Nursing Home Rate Increase.pdf  (1.19 MB)

Download this pdf file. 17-012 Nursing Home Ventilator  (642.11 KB)

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

Download this pdf file. 17-014 School Nurses Administrative Agreement Update (220 KB)

Download this pdf file. 17-015 Autism Enroll BCBA .pdf  (334.97 KB)

2016

Download this pdf file. 16-001 PCP & OBGYN Rate Increase  (1.92 MB)

Download this pdf file. 16-002 CIS Rate Increase  (260.35 KB)

Download this pdf file. 16-003 Rural-Hospital-Add-on-Payment-for-Deliveries  (1.29 MB)

Download this pdf file. 16-004 NH-Vent-Rate-Increase  (1.63 MB)

Download this pdf file. 16-005 NH-Rate-Increase  (1.53 MB)

Download this pdf file. 16-010 Physician UPL

Download this pdf file. 16-015 DPH Newborn Screening Fee Increase  (1.06 MB)

2015

Download this pdf file. 15-001 FQHC_RHC Reimbursement for purchase of LARCs  (99.64 KB)

Download this pdf file. 15-003 Nursing Facilities Rate Increase  (3.8 MB)

Download this pdf file. 15-004 Adult Air Ambulance  (108.76 KB)

Download this pdf file. 15-005 Inpatient Prospective Payment Services  (706 KB)

Download this pdf file. 15-006 Enhanced Primary Care Svc. Payment  (374.65 KB)

Download this pdf file. 15-008 Telehealth and Telemedicine Services  (905.45 KB)

Download this pdf file. 15-009 Express Lane Eligibility  (91.12 KB)

Download this pdf file. 15-010 FQHC_RHC  (136.07 KB)

Download this pdf file. 15-011 IPPS Tricare Grouper  (164.75 KB)

15-012 Transportation Telemedicine Facility Sites (430.17 KB)

Prior to 2015

Download this pdf file. 14-001 Family Planning Services  (157.81 KB)

Download this pdf file. 14-003 Perinatal Case Management  (18.97 MB)

Download this pdf file. 14-006 Georgia Nursing Facilities Rate Increase  (494.56 KB)

Download this pdf file. 13-001 State Governor Review  (215.99 KB)

Download this pdf file. 13-002 Disproportionate Share Hospital Allocation  (416.76 KB)

Download this pdf file. 13-004 Enhanced Primary Care Service Payment  (406.21 KB)

Download this pdf file. 13-008 Concurrent Hospice Care  (365.51 KB)

Download this pdf file. 13-009 Fair Rental Value  (512.64 KB)

Download this pdf file. 13-005 CMS Approval Letter  (318.98 KB)

Download this pdf file. 13-006 CMS Approval Letter  (1.93 MB)

Download this pdf file. 13-007 FQHC_RHC Increase  (182.69 KB)

Download this pdf file. 13-011 Foster Care and Adoption Assistance  (318.76 KB)

Download this pdf file. 13-012 Care Payment for Private Inpatient Hospitals  (137.36 KB)

Download this pdf file. 13-013 Care Payments for Private Outpatient Hospitals  (247.57 KB)

Download this pdf file. 13-014 Pregnancy Related & Postpartum Services  (73.38 KB)

Download this pdf file. 13-015 ABD Medical Coordination  (224.55 KB)

Download this pdf file. 13-016 MAGI Eligibility & Methods Group  (1.56 MB)

Download this pdf file. 13-0017 Establish 2001 _f_ Group  (388.4 KB)

Download this pdf file. 13-018 Eligibility Process Group  (1.71 MB)

Download this pdf file. 13-0019 Non-Financial Eligibility Group  (1.13 MB)

Download this pdf file. 13-0020 MAGI- Based Eligibility groups  (1.43 MB)

Download this pdf file. 13-0021 Eligibility Process  (493.73 KB)

Download this pdf file. 13-022 MAGI Income Methodology  (73.67 KB)

Download this pdf file. 13-023 Residency  (141.61 KB)

Download this pdf file. 13-0024 Citizenship & Immigration Status  (142.09 KB)

Download this pdf file. 13-025 XXI Medicaid Expansion  (73.03 KB)

Download this pdf file. 13-026 Tobacco Cessation Counseling Service  (136.02 KB)

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

Download this pdf file. 13-0028 Hospital Presumptive Eligibility  (258.1 KB)

Download this pdf file. 12-001 Medicaid Recovery Audit Program  (428.09 KB)

Download this pdf file. 12-002 Tobacco Cessation  (195.32 KB)

Download this pdf file. 12-003 Nursing Home Reimbursement  (2.52 MB)

Download this pdf file. 12-004 Provider Screening and Enrollment  (417.85 KB)

12-005 Nursing Home Reimbursement (578.15 KB)

Download this pdf file. 11-001 Disproportionate Share Hospitals  (281.15 KB)

Download this pdf file. 11-002 Express Lane Eligibility  (212.8 KB)

Download this pdf file. 11-003 Foreign Payment Prohibition  (97.82 KB)

Download this pdf file. 11-004 Freestanding Birth Centers  (351.44 KB)

11-005 Hospital Acquired Conditions (583.77 KB)

Download this pdf file. 11-006 Disproportionate Share Hospitals  (700.44 KB)

Download this pdf file. 11-007 Community Behavioral Health  (3.24 MB)

Download this pdf file. 11-008 GBHC Termination  (402.54 KB)

Download this pdf file. 10-019 Medicaid Recovery Audit Program  (1.23 MB)