Approved State Plan Amendments
All state plan amendments approved since 11/19/2015.
2024
24-0006 Rate Increase for PCP, OBGYN, Optometry, LAI
24-0008 Community Behavioral Health Rehabilitation Services (CBHRS) Rate Increase
24-0004 Dispensing Fee Increase for Independent Pharmacy
23-0011 Value-Based and Outcome-Based Contracting with Pharmaceutical Manufacturers
23-0009 DRG Grouper from Tricare DRG Version 35 to APR DRG Version 40
2023
21-0014 Disproportionate Share Hospital Methodology
22-0003 PRTF Per Diem Rate Adjustments
22-0006 Behavioral Support Aides
22-0007 Disproportionate Share Hospital Methodology
22-0008 Eliminate Attestation and Increases Rates for Obstetrics/Gynecology (OB/GYN)
22-0009 Update Nursing Home Rates to 2020 Medicaid Cost Report
22-0010 Private 911 Ground Ambulance Upper Payment Limit (UPL) Program
22-0013 Increase Rate for LTAC and IRF
22-0014 Nursing Home Mechanical Ventilator Care Rate Increase
23-0001 Disaster Relief – Unwinding
23-0005 COVID-19 Vaccines and Vaccine Administration
23-0007 Blood Pressure Monitors
2022
22-0001 Medicaid Disaster Relief
22-0004 Express Lane Eligibility
2021
21-0002 Georgia's Medicaid Disaster Relief.pdf (11.32MB)
21-0003 Medication Assisted Treatment
21-0004 Hospital Audit Program.pdf (254.58KB)
21-0005 Reimbursement for COVID-19 Vaccines - Disaster Relief SPA (354.64KB)
21-0006 PCP/OBGYN increase to 2020 Medicare Levels
21-0008 Increase Reimbursement for 15 Dental Codes
21-0009 Nursing Home Reimbursement Rate Change
21-0011 Ground Ambulance Supplemental Payment Program
21-0013 Third Party Liability-Cost Avoidance
21-0015 Non-Emergency Medical Transportation
21-0016 Approval Package for State Plan
2020
20-0003 Ambulance Upper Payment Limit (UPL) Supplemental Payment Program
20-0008 Silver Diamine Fluoride Reimbursement.pdf (254.61KB)
20-0009 Increased Reimbursement for Ventilator Dependent Nursing Facility Residents.pdf (375.77KB)
20-0010 Primary Care Code 1% Rate Increase
20-0011 Nursing Home Quality Incentive Program.pdf (369.55KB)
2019
19-005 Disproportionate Share Hospital (DSH) Allocation Methodology
19-008 Hospital Provider Fee Extension (HPF)
19-009 Skilled Nursing Facility Rate Increase
19-010 Nursing Home Personal Needs Allowance (PNA) Rate Increase
19-012 Per diem Rate Increase for Swing Bed
19-013 NF Vent Dependent Resident Rate Increase
2018
18-001 GA Former Foster Care Children Out of State .pdf (202.08 KB)
18-002 Supplemental Rebate Agreement Template
18-004 Nursing Home Personal Needs Allowance Rate Increase
18-005 Nursing Home 4.5% Rate Increase
18-006 Nursing Home Liability Insurance Rate Increase
18-007 Newborn Kick Payment for Rural Hospital with a population of less than 35,000
18-009 Commissioner of Human Services waives the first $25,000 of any estate provide
18-010 Hospital Triage Rate Increase
2017
17-001 Outpatient Drug Rule (1.07 MB)
17-002 Community Behavioral Health Rehabilitation Services (582.85 KB)
17-003 Nursing Home Ventilator Rate Increase (1.87 MB)
17-005 - Portable X-ray CT Scan (250.34 KB)
17-006 Hospital Provider Fee (792.31 KB)
17-007 Nursing Facility Rate Increase (675.19 KB)
17-008 Primary Facility Rate Increase HB44.pdf (246.44 KB)
17-009 Newborn Add on Fee for Rural Counties.pdf (1.26 MB)
17-010 Nursing Home Rate Increase.pdf (1.19 MB)
17-012 Nursing Home Ventilator (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 (220 KB)
17-015 Autism Enroll BCBA .pdf (334.97 KB)
2016
16-001 PCP & OBGYN Rate Increase (1.92 MB)
16-002 CIS Rate Increase (260.35 KB)
16-003 Rural-Hospital-Add-on-Payment-for-Deliveries (1.29 MB)
16-004 NH-Vent-Rate-Increase (1.63 MB)
16-005 NH-Rate-Increase (1.53 MB)
16-015 DPH Newborn Screening Fee Increase (1.06 MB)
2015
15-001 FQHC_RHC Reimbursement for purchase of LARCs (99.64 KB)
15-003 Nursing Facilities Rate Increase (3.8 MB)
15-004 Adult Air Ambulance (108.76 KB)
15-005 Inpatient Prospective Payment Services (706 KB)
15-006 Enhanced Primary Care Svc. Payment (374.65 KB)
15-008 Telehealth and Telemedicine Services (905.45 KB)
15-009 Express Lane Eligibility (91.12 KB)
15-010 FQHC_RHC (136.07 KB)
15-011 IPPS Tricare Grouper (164.75 KB)
15-012 Transportation Telemedicine Facility Sites (430.17 KB)
Prior to 2015
14-001 Family Planning Services (157.81 KB)
14-003 Perinatal Case Management (18.97 MB)
14-006 Georgia Nursing Facilities Rate Increase (494.56 KB)
13-001 State Governor Review (215.99 KB)
13-002 Disproportionate Share Hospital Allocation (416.76 KB)
13-004 Enhanced Primary Care Service Payment (406.21 KB)
13-008 Concurrent Hospice Care (365.51 KB)
13-009 Fair Rental Value (512.64 KB)
13-005 CMS Approval Letter (318.98 KB)
13-006 CMS Approval Letter (1.93 MB)
13-007 FQHC_RHC Increase (182.69 KB)
13-011 Foster Care and Adoption Assistance (318.76 KB)
13-012 Care Payment for Private Inpatient Hospitals (137.36 KB)
13-013 Care Payments for Private Outpatient Hospitals (247.57 KB)
13-014 Pregnancy Related & Postpartum Services (73.38 KB)
13-015 ABD Medical Coordination (224.55 KB)
13-016 MAGI Eligibility & Methods Group (1.56 MB)
13-0017 Establish 2001 _f_ Group (388.4 KB)
13-018 Eligibility Process Group (1.71 MB)
13-0019 Non-Financial Eligibility Group (1.13 MB)
13-0020 MAGI- Based Eligibility groups (1.43 MB)
13-0021 Eligibility Process (493.73 KB)
13-022 MAGI Income Methodology (73.67 KB)
13-023 Residency (141.61 KB)
13-0024 Citizenship & Immigration Status (142.09 KB)
13-025 XXI Medicaid Expansion (73.03 KB)
13-026 Tobacco Cessation Counseling Service (136.02 KB)
13-027 Inpatient Hospital Prospective Payment Services (395.89 KB)
13-0028 Hospital Presumptive Eligibility (258.1 KB)
12-001 Medicaid Recovery Audit Program (428.09 KB)
12-002 Tobacco Cessation (195.32 KB)
12-003 Nursing Home Reimbursement (2.52 MB)
12-004 Provider Screening and Enrollment (417.85 KB)
12-005 Nursing Home Reimbursement (578.15 KB)
11-001 Disproportionate Share Hospitals (281.15 KB)
11-002 Express Lane Eligibility (212.8 KB)
11-003 Foreign Payment Prohibition (97.82 KB)
11-004 Freestanding Birth Centers (351.44 KB)
11-005 Hospital Acquired Conditions (583.77 KB)
11-006 Disproportionate Share Hospitals (700.44 KB)
11-007 Community Behavioral Health (3.24 MB)
11-008 GBHC Termination (402.54 KB)
10-019 Medicaid Recovery Audit Program (1.23 MB)