Arizona Medicaid State Plan Amendments

This page lists State Plan Amendments (SPAs) to the Medicaid State Plan that have been submitted to the Centers for Medicare and Medicaid Services (CMS). If the SPA was approved by CMS, the approval letter is provided.

2024 Amendments

24-0002 Physician Administered Drug (PAD) Rates
Updates the state plan Physician Administered Drug (PAD) Rates, effective January 1, 2024.

24-0001 January Nursing Facility Rates
Updates the state plan Janurary Nursing Facility Rates, effective January 1, 2024.

2023 Amendments

23-0026 APR-DRG Rates
Updates the state plan APR-DRG rates, effective October 1, 2023.

23-0025 Other Provider Rates
Updates the state plan Other Provider rates, effective October 1, 2023.

23-0024 Outpatient Hospital Rates
Updates the state plan Outpatient Hospital rates, effective October 1, 2023.

23-0023 Long-Term Care Hospital and Rehabilitation Hospital Rates
Updates the state plan Long-Term Care Hospital and Rehabilitation Hospital rates, effective October 1, 2023.

23-0022 EMT Rates
Updates the state plan EMT rates, effective October 1, 2023.

23-0021 Outpatient Differential Adjusted Payment (DAP)
Establishes an outpatient differential adjusted payment (DAP) for FFY 2024.

23-0020 Nursing Facility Differential Adjusted Payment (DAP)
Establishes a nursing facility differential adjusted payment (DAP) for FFY 2024.

23-0019 Inpatient Differential Adjusted Payment (DAP)
Establishes an inpatient differential adjusted payment (DAP) for FFY 2024.

23-0018 Rapid Whole Genome Sequencing
Establishes a payment methodology for rapid whole genome sequencing (RWGS), effective October 30, 2023.

23-0017 DSH Pool 5
Updates the DSH Pool 5 funding and participating hospitals in the State Plan.

23-0016 DSH Budget
Updates the Disproportionate Share Hospital (DSH) Budget in the State Plan.

23-0015 IGA GME
Details amounts and methodology related to the Intergovernmental Agreement (IGA) GME Program.

23-0014 General Fund (GF) GME
Details amounts and methodology related to the General Fund GME Program.

23-0010 - Alcohol and/or Drug Services, Intensive Outpatient
This SPA updates the rate methodology for alcohol and/or drug services, intensive outpatient, effective May 1, 2023.

23-0009 - State Agency Roles
Identifies the role of state agencies in determining eligibility and conducting hearings.

23-0008 - COVID Payment
Provides for a COVID-19 related lump-sum payment for select providers.

23-0007 - Former Foster Care Children (FFCC) Eligibility Group
Attests to the state's compliance with the SUPPORT Act requirements for coverage of former foster care children/youth.

23-0006 - Suspend Cost Sharing - Temporary Extension
Temporarily suspends cost.

23-0004 - DSH Medicaid Shortfall Calculation
Updates the DSH Medicaid shortfall calculation.

23-003 - Long Acting Reversible Contraceptives (LARC)
Updates the reimbursement methodology for LARC.

23-0002 - January Nursing Facility Rates
Updates, effective January 1, 2023.

23-0001 - APR DRG January Update
Updates APR DRG rates, effective January 1, 2023.

2022 Amendments

22-0031 - Drug Signature Requirements
This SPA temporarily waives any signature requirements for the dispensing of drugs during the Public Health Emergency (PHE).

22-0030 - Drug Utilization Review Program
Describes the state's Drug Utilization Review (DUR) Program for CMS covered outpatient drugs.

22-0029 - Community Health Worker Services
Adds Community Health Worker Services to the state plan.

22-0028 – Nursing Facility Differential Adjusted Payment
Establishes a Nursing Facility Differential Adjustment Payment (DAP) for FFY 2023.

22-0027 – Outpatient Differential Adjusted Payment
Establishes an Outpatient Differential Adjustment Payment (DAP) for FFY 2023.

22-0026 – Inpatient Differential Adjusted Payment
Establishes an Inpatient Differential Adjustment Payment (DAP) for FFY 2023.

22-0025 – NF Supplemental Payment
Adds a nursing facility supplemental payment to the state plan.

22-0024 – DRG Rates
Updates the state plan Diagnostic Related Groups (DRG) rates for FFY 2023.

22-0023 – Other Provider Rates
Updates the state plan Other Provider Rates for FFY 2023.

22-0022 – Outpatient Hospital Rates
Updates the state plan Outpatient Hospital Rates for FFY 2023.

22-0021 – NF Rates
Updates the state plan Nursing Facility rates for FFY 2023.

22-0020 – LTC/Rehab Rates
Updates the state plan Long Term Care and Rehabilitative Services Rates for FFY 2023.

22-0019 – EMT Rates
Updates the state plan Emergency Medical Transportation Rates for FFY 2023.

22-0018 - Chiropractors’ Services
Adds chiropractors’ services, with limitations, to the state plan.

22-0016 – Diabetes Self-Management Training
Adds Diabetes Self Management Training to the State Plan.

SPA 22-0015 DSH Pool 5
Updates the State Plan to reflect DSH Pool 5 funding and participating hospitals for FY 2023.

SPA 22-0014 DSH Budget
Updates the Disproportionate Share Hospital (DSH) budget in the State Plan for FY 2023.

SPA 22-0013 FQHC GME
Describes the Federally Qualified Health Center (FQHC) Graduate Medical Education (GME) program.

SPA 22-0012 IGA GME
Updates the State Plan to detail the amounts and methodology of the Intergovernmental Agreement (IGA) Graduate Medical Education (GME) program for FY 2023

SPA 22-0011 GF GME
Updates the State Plan to detail the amounts and methodology related to the General Fund (GF) Graduate Medical Education (GME) program for FY 2023

SPA 22-0009 - 12-month Postpartum Continuous Eligibility (Medicaid)
Establishes 12-months of postpartum continuous eligibility for pregnant women.

SPA 22-0008 - Crisis Intervention Services
Adds clarifying language on crisis intervention services to the State Plan.

SPA 22-0006 - COVID Directed Payment
Provides for a COVID-19 related directed payment for select providers.

SPA 22-0005 - COVID-19 Vaccination
Attests to the state’s coverage of COVID-19 Vaccination at Section 1905(a)(4)(E) of the Social Security Act.

SPA 22-0004 COVID-19 Treatment
Attests to the state’s coverage of COVID-19 Treatment at section 1905(a)(4)(F) of the Social Security Act.

SPA 22-0003 COVID-19 Testing Coverage
Attests to the state’s coverage of COVID-19 Testing at section 1905(a)(4)(F) of the Social Security Act.

SPA 22-0002 Clinical Trial Routine Patient Costs
Attests to the state’s compliance with Division CC, Title II, Section 210 of the Consolidated Appropriations Act (2020), which requires mandatory Medicaid coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.

SPA 22-001 - January 2022 NF Rates
Updates the State Plan to reflect updated nursing facility rates, effective January 1, 2022.

2021 Amendments

SPA 21-026 - Third Party Liability
Attests to the state's compliance with the Third Party Liability requirements outlined in 1902(a)(25)(E) and 1902(a)(25)(F)(i) of the Social Security Act.

SPA 21-025 - Nursing Facility DAP
Updates the NF DAP Program in the State Plan.

SPA 21-024 - Outpatient Different Adjusted Payment (DAP)
This amendment updates the Outpatient Differential Adjusted Payment (DAP) Program.

SPA 21-023 - Inpatient Hospital DAP
This amendment updates the Inpatient Hospital Differential Adjusted Payment (DAP) Program.

SPA 21-022 - DRG Rates
Updates the DRG rates, effective October 1, 2021.

SPA 21-021 - Pediatric Immunization Program Rates
Updates the State Plan Rates for Vaccines Under the Pediatric Immunization Program, effective October 1, 2021.

SPA 21-020 - Other Provider Rates
Updates the State Plan Other Provider Rates, effective October 1, 2021.

SPA 21-019 - Outpatient Hospital Rates
Updates the State Plan Outpatient Hospital rates, effective 10/1/2021.

SPA 21-018 - NF Rate Update
Updates the State Plan NF rates.

SPA 21-017 - LTC and Rehab Rates
Updates the State Plan long-term care and rehabilitation rates, effective October 1, 2021.

SPA 21-016 - EMT Rates Update
Updates the State Plan EMT Rates, effective October 1, 2021.

SPA 21-015 - FQHC/RHC GME Program
Describes the FQHC/RHC GME Program in the State Plan.

SPA 21-014 - GME 2022
This SPA updates the State Plan to continue the GME program for FY 2022.

SPA 21-013 - Clinical Nurse Specialist
Adds Clinical Nurse Specialist (CNS) as a new provider type in alignment with A.R.S. 32-1651.

SPA 21-012 - DSH Budget
Updates the State Plan to reflect DSH funding for SPY 2021.

SPA 21-011 - DSH Pool 5
Updates the State Plan to reflect DSH Pool 5 funding and participating hospitals for FY 2022.

SPA 21-010 - DSH Pool 4 Reallocation
Updates the State Plan to detail the reallocation of excess Pool 4 funding for FY 2022.

SPA 21-009 - General Fund GME
Updates the State Plan to detail amounts and methodology related to the GME program General Fund dollars for FY 2022.

SPA 21-008 - Emergency Triage, Treat and Transport (ET3)
Adds Emergency Triage, Treat and Transport (ET3) services to the State Plan.

SPA 21-007 - COVID-19 Vaccine Administration Rate Update
The COVID-19 vaccine administration rate is $83 per dose for two-dose vaccines and $83 to administer single-dose vaccines.

SPA 21-006 - “Open Care” School Based Claiming Services Methods and Standards
Describes the methods and standards for reimbursing school-based health and related services.

SPA 21-005 - “Open Care” School Based Claiming Services
Expands Medicaid coverage for school-based services rendered to Medicaid enrolled student beneficiaries.

SPA 21-004 - COVID Vaccine NEMT
Updates the disaster state plan pages to identify an updated NEMT rate for drive-through vaccination sites, effective February 22, 2021.

SPA 21-003 - Medication-Assisted Treatment
Updates the State Plan to explicitly attest to Arizona’s coverage of Medication-Assisted Treatment (MAT) and related counseling and behavioral health therapies, effective October 1, 2020.

SPA 21-002 - NF COVID Payment 2
Updates the State Plan to allow the Administration to issue a second COVID-19 related direct payment program for nursing facilities (NFs), identical to the original one approved in the state plan.

21-001 - IHS/638 RN AIR
Updates the State Plan to allow the Administration to reimburse IHS/638 facilities at the outpatient all-inclusive rate (AIR) for COVID-19 vaccine administration by registered nurses under an individual or standing order for the duration of the PHE, effective December 1, 2020.

2020 Amendments

SPA 20-031 - COVID-19 Vaccine Reimbursement
Updated the state plan to reflect Medicare rates for COVID-19 vaccine admin.

SPA 20-030 - OP DAP
Updates the IP DAP program, effective October 1, 2019.

SPA 20-029 - IP DAP
Updates the IP DAP program, effective October 1, 2020.

SPA 20-028 - NF DAP
Updates the State Plan to update the NF DAP program.

SPA 20-027 - DRG
Updates the State Plan DRG Rates, effective October 1, 2020.

SPA 20-026 - Other Provider Rates
Updates the State Plan Other Provider rates, effective October 1, 2020.

SPA 20-025 - Outpatient Hospital Rates
Revises Outpatient Hospital Rates effective 10/1/2020.

SPA 20-024 - January NF Rates
Updates the State Plan to reflect updated nursing facility rates, effective January 1, 2021.

SPA 20-023 - LTC & Rehab Rates
Updates the State Plan long-term care and rehabilitation rates, effective October 1, 2020.

SPA 20-022 - EMS Rates
Updates the State Plan EMS rates, effective October 1, 2020.

SPA 20-021 - Pharmacy Tech/Intern
Allows pharmacy technicians and pharmacy interns to administer the influenza vaccine, as well as a potential COVID-19 vaccine, once approved.

SPA 20-020 - Vaccination Rate Increase
Updates the State Plan to reflect a rate increase for vaccination and vaccination administration codes, and to change the VFC administration rate.

SPA 20-019 - General Fund GME
Updates the State Plan to detail amounts and methodology related to the GME program General Fund dollars approved by the Arizona State Legislature.

SPA 20-018 - GME 2021
This SPA will update the State Plan to continue the GME program for FY 2021.

SPA 20-017 - DSH Pool 4 Reallocation
Updates the State Plan to detail the reallocation of excess Pool 4 funding.

SPA 20-016 - 2021 DSH Pool 5
Updates the State Plan to reflect DSH Pool 5 funding and participating hospitals for FY 2021.

SPA 20-015 - DSH Budget 2021
Updates the State Plan to reflect DSH funding for SPY 2021.

SPA 20-014 - COVID-19 7
To clarify approved language in AZ-20-0004 and to further increase in bedhold days in response to the COVID-19 pandemic.

SPA 20-013 - IHS/638 DAP
Updates the IP and OP DAP programs to include IHS/638 facilities for FFY 2021.

SPA 20-011 - IHS/638 NF AIR
To change the reimbursement for nursing facility services provided to American Indians by facilities owned or operated by the Indian Health or tribes under PL 93-638 to reflect the outpatient All-Inclusive Rate (AIR) as published in the Federal Register.

SPA 20-010 - EPSDT ND
To clarify the coverage of Naturopathic Physicians under the EPSDT benefit.

SPA 20-009 - COVID 4
This SPA removes the indication that the State covers the optional COVID testing group.

SPA 20-008 Tribal Dental Limit
To remove the $1000 dental benefit limit for members served in IHS/Tribal facilities as passed in House Bill 2244.

SPA 20-007 COVID-19 6
Updates the state plan to provide additional flexibilities to allow the state to adequately respond to the COVID-19 pandemic

SPA 20-006 COVID-19 5
Updates the state plan to provide additional flexibilities to allow the state to adequately respond to the COVID-19 pandemic.

SPA 20-005 COVID-19 3
Updates the state plan to provide additional flexibilities to allow the state to adequately respond to the COVID-19 pandemic.

SPA 20-004 – COVID-19 2
Amends the disaster relief SPA template to provide the state additional flexibilities to address the COVID-19 pandemic.

SPA 20-003 – January NF Rate Updates
Updates the State plan to update the NF rates.

SPA 20-001 - COVID-19
Amends the State Plan to provide the state discretion to waive copayments and other cost sharing requirements for a specified period of time in response to COVID-19.

2019 Amendments

SPA 19-022 - OP DAP
Updates the State Plan OP DAP program, effecApproved 02/03/2020tive October 1, 2019.

SPA 19-021 - IP DAP
Updates the IP DAP program, effective October 1, 2019.

SPA 19-020 - Opioid DUR
Updates the State Plan to comply with SUPPORT Act requirements regarding opioid drug utilization reviews.

SPA 19-019 - LTC & Rehab Rates
Updates the State Plan long-term care and rehabilitation rates, effective October 1, 2019.

SPA 19-018 - Other Provider Rates
Updates the State Plan Other Provider rates, effective October 1, 2019.

SPA 19-017 - NF Rates
Updates the State Plan to reflect updated nursing facility rates, effective Ovtober 1, 2019.

SPA 19-016 - EMS Rates
Updates the State Plan EMS rates, effective October 1, 2019.

SPA 19-015 - NF DAP
Updates the State Plan to update the NF DAP program.

SPA 19-014 - DRG Rates
Updates the State Plan DRG Rates, effective October 1, 2019.

SPA 19-013 - Dental AIR
Reflect the emergency dental benefit cap as being the higher of $1000, or the full AIR complete payment methodology in accordance with the OMB rate for IHS/638 facilities.

SPA 19-012 - OP Hospital Rates
Revises Outpatient Hospital Rates effective 10/1/2019.

SPA 19-011 - 2019 DSH Pool 4
Updates the State Plan to detail the reallocation of excess Pool 4 fundings.

SPA 19-010 - General Fund GME
Updates the State Plan to detail amounts and methodology related to the GME program General Fund dollars approved by the Arizona State Legislature.

SPA 19-009 - GME 2020
This SPA will update the State Plan to continue the GME program for FY 2020.

SPA 19-008 - DSH Budget 2020
Updates the State Plan to reflect DSH funding for SPY 2020 in response to budget changes passed by the Arizona State Legislature.

SPA 19-007 - DSH Pool 5
Updates the State Plan to reflect DSH Pool 5 funding and participating hospitals for FY 2020.

SPA 19-006 - Census Wage Eligibility Groups
Updates the eligibility groups for which wages related to Census activities are excluded.

SPA 19-005 Advanced Directives
Updates the advanced directives section of the State Plan to ensure the advanced directives brochure is always current.

SPA 19-004 - Pharmacy Value Based Purchasing (VBP)
Provides the state the authority to enter into value based payment (outcome-based) agreements with pharmacy drug manufacturers.

SPA 19-002 - Other Provider Rates
Updates the State Plan to update the other provider rates.

SPA 19-001 - Nursing Facility Rates
Updates the State Plan to make changes to the NF payments.

2018 Amendments

SPA 18-020 - Nursing Facility Rates
Updates the NF rates effective 10/01/2018.

SPA 18-019 - Outpatient DAP
Updates the Outpatient DAP program.

SPA 18-018 - Nursing Facility DAP
Updates the NF DAP program effective 10/01/2018.

SPA 18-017 - LTAC and Rehab Rates
Revises the LTAC and Rehab rates effective 10/01/2018.

SPA 18-016 - Inpatient DAP
Revises the State Plan to update the Inpatient DAP program, effective October 1, 2018.

SPA 18-015 - DSH 2019
Renews the DSH program for 2019.

SPA 18-014 - Other Provider Rates
Revises the Other Provider Rates effective 10/01/2018.

SPA 18-013 - Outpatient Hospital Rates
Revises the Outpatient Hospital Rates effective 10/01/2018.

SPA 18-012 - Outpatient Drug Rule
Updates the State Plan to comply with the Outpatient Drug Rule.

SPA 18-011 – EMS Rates
Updates the State Plan to make update to EMS rate methodologies.

SPA 18-010 – GME 2019
Updates the State Plan to continue the GME program for FY2019.

SPA 18-009 – FQHC Alternative Payment Model
Updates the State Plan to update the alternative payment methodology for federally qualified health centers to include quality measures.

SPA 18-008 – DSH Third Party Payments
Updates the State Plan to exclude third party payments from the Medicaid shortfall calculation.

SPA 18-007 - DSH Budget Changes
Updated the State Plan regarding DSH pools 4 and 5 in response to budget changes passed by the Arizona State Legislature.

SPA 18-006 - Asset Verification
Updated the State Plan to describe AHCCCS acquisition of an Asset Verification system through the NESCO consortium.

SPA 18-005 – Personal Needs Allowance
Updates the State Plan to provide personal needs allowances for income garnished for child support or spousal maintenance.

SPA 18-004 – 638 FQHC
Updates the State Plan to change the reimbursement rates for specialty drugs dispensed by IHS/638 facilities.

SPA 18-003 – IHS/638 Specialty Drugs
Updates the State Plan to change the reimbursement rates for specialty drugs dispensed by IHS/638 facilities.

SPA 18-002 – DRG Rebase
Updates the State Plan to rebase the DRG rates.

SPA 18-001 – NF Rate Updates
Updates the State Plan to make changes to NF payments.

2017 Amendments

SPA 17-017 – Nursing Facilities Differential Adjusted Payments
Updates the State Plan establishes differential adjusted payments for nursing facilities.

SPA 17-016 – Integrated Clinic, Physician, Physician’s Assistant and Registered Nurse Practitioner Differential Adjusted Payments
Updates the State Plan establishes differential adjusted payments for Integrated Clinic, Physician, Physician’s Assistants and Registered Nurse Practitioners.

SPA 17-015 – Inpatient Differential Adjusted Payments
Updates the State Plan establishes differential adjusted payments for inpatient care.

SPA 17-014 – Other Provider Rates
Updates the State Plan to update the other provider rates.

PA 17-013 – Outpatient Hospital Rates
Updates the State Plan to update OP Hospital Rates.

SPA 17-012 – LTAC and Rehab Rates
Updates the State Plan to update LTAC and Rehab rates.

SPA 17-011 – Ambulance Rates
Updates the State Plan to make changes to ambulance rates.

SPA 17-009 – Share of Cost
Updates the State Plan to make changes to the share of cost deduction by expanding the list of services eligible for a share of cost deduction and adding a reasonable restriction on the period in which the expense occurred.

SPA 17-008 – Adult Emergency Dental and Occupational Therapy
Updates the State Plan to add a benefit for adult emergency dental services and occupational therapy.

SPA 17-007A - DSH Pool 5
Updates the Stat Plan to reflect updated DSH Pool 5 participating facilities

SPA 17-007 - DSH Pool 4 Reallocation
Updates the State Plan to transition the Disproportionate Share Hospital reallocation language from Arizona’s 1115 waiver into the state plan.

SPA 17-005 - Disproportionate Share Hospital
Updates the State Plan to transition the Disproportionate Share Hospital program from Arizona's 1115 waiver into the state plan.

SPA 17-004 – NF Rate Update
Updates the State Plan to make changes to NF payments.

SPA 17-003 – American Indian Medical Home
Adds the American Indian Medical Home program in the State Plan.

SPA 17-002 – DRG Pediatric Policy Adjustor
Updates the State Plan to make changes to the DRG pediatric policy adjustor.

SPA 17-001 – Prop 206 NF Rate Update
Updates the State Plan to make changes to NF payments.

2016 Amendments

SPA 16-013 – DRG Updates
Updates the State Plan to make changes to DRG payments.

SPA 16-012-B – Outpatient Services Value Based Purchasing (VBP) differential adjusted payment
Updates the State Plan to include Value Based Purchasing (VBP) differential adjusted payment for hospitals providing outpatient hospital services and providers registered with AHCCCS as integrated clinics.

SPA 16-012-A – Inpatient Hospitals Value Based Purchasing (VBP) differential adjusted payment
Updates the State Plan to include Value Based Purchasing (VBP) differential adjusted payment for Hospitals providing inpatient hospital services.

SPA 16-012-C – Value Based Purchasing Nursing Facilities
Updates the State Plan to include Value Based Purchasing (VBP) differential adjusted payment for nursing facilities.

SPA 16-011 – ABP Podiatrist Services
Updates the State Plan to add podiatrist services under the other licensed practitioner benefit.

SPA 16-010-E – Ambulance and Air Ambulance Rates
Updates the State Plan to make changes to ambulance and air ambulance rates.

  • Approved 5/12/2017

    • SPA 16-010-D – Nursing Facility Rates
    Updates reimbursement for Nursing Facilities rates for the period beginning October 1, 2016.

  • Approved 11/01/2016

    • SPA 16-010-C – Other Provider Rates
    Updates the State Plan to make changes to other provider rates.

    SPA 16-010-B – Outpatient Hospital Rates
    Updates the State Plan to make changes to outpatient hospital rates.

    SPA 16-010-A – Freestanding Psychiatric Hospital Rates
    Updates rates for freestanding psychiatric hospitals for the period beginning October 1, 2015.

    SPA 16-009 – General Medical Education 2017
    Updates GME funding for the service period July 1, 2016 through June 30, 2017 for programs with submitted IGAs.

    SPA 16-008 – LTAC and Rehab Hospitals
    Updates the State Plan to revise the effective date of rates to long term acute care and rehabilitation hospitals.

    SPA 16-007 – Freestanding Hospital-based Emergency Departments
    Updates the State Plan to include Freestanding Hospital-based Emergency Departments as a reimbursable provider under outpatient hospital services.

    SPA 16-006 – Treat and Refer
    Updates the State Plan to add to describe community paramedicine, otherwise referred to as Treat and Refer.

    SPA 16-005 – NF Provider Assessment
    Updates the State Plan to revise the assessment amounts for Nursing Facility supplemental funding.

    SPA 16-004 – Services by a Podiatrist
    Updates the State Plan to add services provided by a podiatrist as an Other Licensed Practitioner.


    SPA 16-003 – Vaccines and Immunizations
    Updates the State Plan to expand the types of vaccines and immunizations administered by pharmacists for AHCCCS members consistent with ARS §32-1974.

    SPA 16-002 – Air Ambulance Rates Update
    Updates the State Plan to revise Air Ambulance Rates.

    SPA 16-001 – Hospice Rates Update
    Updates the State Plan to revise Hospice Rates.

    2015 Amendments

    SPA 15-010 – DRG Update
    Updates the State Plan to revise DRG.

    SPA 15-009 – Rehab and LTAC Hospital Rates
    Updates the State Plan to describe payments to long term acute care and rehabilitation hospitals.

    SPA 15-008 – NF Assessment Out-of-State Exemption
    Updates the State Plan to exempt out of state nursing facilities from receiving supplemental payments.

    SPA 15-007 – APR DRG
    Updates DRG for the DCI and transition adjustment factors as of October 1, 2015.

    SPA 15-006 – Graduate Medical Education 2016
    Updates funding for GME programs for the service period July 1, 2015, through June 30, 2016 for programs with submitted IGAs.

    SPA 15-005-D – Nursing Facility Rates
    Updates reimbursement rates for Nursing Facilities the period October 1, 2015 to September 30, 2016 and permanently removes the automatic inflation factor beginning October 1, 2015.

    SPA 15-005-C – Other Provider Rates
    Updates rates for other provider services as of October 1, 2015.

    SPA 15-005-B – Outpatient Rates
    Updates rates for outpatient services as of October 1, 2015.

    SPA 15-005-A – Freestanding Psychiatric Hospital Rates
    Updates the rates for freestanding psychiatric hospitals as of October 1, 2015.

    SPA 15-004 - Ambulance Rates
    Updates Ambulance Rates in the State Plan.

    SPA 15-003 - Orthotics
    Updates the State Plan to reflect updates to the orthotic benefit.

    SPA 15-002 – Nursing Facility Assessment
    Updates the Nursing Facility assessment dollar amounts in State Plan.

    SPA 15-001 – Supplemental Drug Rebates
    Updates the State Plan to include supplemental drug rebates effective January 1, 2015.

    2014 Amendments

    SPA 14-014 – ABP Cost-Sharing
    Updates the State Plan to include cost-sharing for individuals with income over 100% FPL.

    SPA 14-013-D – Nursing Facility Rates
    Updates reimbursement rates for Nursing Facilities for the period October 1, 2014 to September 30, 2015.

    SPA 14-013-C – Other Provider Rates
    Updates reimbursement rates for other providers for the period October 1, 2014 to September 30, 2015.

    SPA 14-013-B – Outpatient Rates
    Continues current outpatient hospital reimbursement rates for the period October 1, 2014 to September 30, 2015.

    SPA 14-013-A – Freestanding Psychiatric Hospital Rates
    Continues rates for freestanding psychiatric hospitals for the period October 1, 2014 to September 30, 2015.

    SPA 14-012 - GME
    Updates GME funding for the service period July 1, 2014 through June 30, 2015 for programs with submitted IGAs.

    SPA 14-011 - Third Party Liability
    Updates the State Plan to reflect changes to Third Party Liability.

    SPA 14-010 – Insulin Pumps
    Updates the ABP and State Plan to include insulin pumps as a covered benefit.

    SPA 14-009 – APR-DRG
    Describes the All Patient Refined Diagnosis Relation Group hospital reimbursement methodology in the State Plan for Inpatient dates of service on and after October 1, 2014.

    SPA 14-008 – Presumptive Eligibility
    Describes Presumptive Eligibility by Hospitals in Arizona.

    SPA 14-007 – Barbiturates, Benzodiazepines and Tobacco Cessation
    Updates the State Plan to remove barbiturates, benzodiazepines and agents used to promote tobacco cessation otherwise covered by Medicare Part D.

    SPA 14-006 – Alternative Benefit Plan (ABP)
    Aligns the ABP benefits for individuals enrolled in the new Adult Group with the current State Plan. In Arizona, the new Adult Group includes childless adults 0-100% FPL and adults without Medicare that are 100-133% FPL.

    SPA 14-005 – Medicaid Administration
    Addresses single state agencies delegation of appeals and determinations.

    SPA 14-004 – Therapies
    Revises the State Plan to reflect updates to therapies covered under the State Plan.

    SPA 14-003 – Medically Preferred Treatment Options
    Revises the State Plan to reflect updates to the orthotic benefit.

    SPA 14-002 – Coverage for over-the-counter or non-prescription medication
    Updates the State Plan to comprehensively describe coverage for over-the-counter or non-prescription medication.

    SPA 14-001 – ADHS Licensure Changes
    Revises the State Plan to reflect updates to the licensing of health programs.

    2013 Amendments

    SPA 13-017C – Reimbursement Rates for Other Providers
    Updates the State Plan to continue current reimbursement rates for other providers during the period October 1, 2013 to September 30, 2014.

    SPA 13-017B – Outpatient Rates
    Updates the State Plan to continue current outpatient hospital reimbursement rates for the period October 1, 2013 to September 30, 2014.

    SPA 13-017A – Inpatient Rates
    Updates the State Plan to continue current inpatient hospital reimbursement rates for the period October 1, 2013 to September 30, 2014.

    SPA 13-016 – Recovery Audit Contractors
    Updates the State Plan to include underpayments for Recovery Audit Contractors.

    SPA 13-015 – FMAP Rates Methodology
    Updates the State Plan to reflect the methodology for identification of applicable FMAP rates.

    SPA 13-014 – Elimination of 25-day In Patient Hospital Limit
    Updates the State Plan to eliminate the 25 day inpatient hospital limit beginning October 1, 2014.

    SPA 13-013 - MAGI Based Income Methodologies
    Updates the State Plan to apply Modified Adjusted Gross Income (MAGI)-based income methodologies in determining eligibility.

    SPA 13-012 – Graduate Medical Education
    Updates the State Plan for Graduate Medical Education program funding for service period July 1, 2013 through June 30, 2014.

    SPA 13-011 – Well Exams
    Updates the State Plan to include well exams as a covered service.

    SPA 13-010 – Citizenship and Immigration Status
    Updates the State Plan to include citizenship and non-citizen eligibility.

    SPA 13-009 – Residency
    Updates the State Plan to reflect that Arizona provides Medicaid to eligible residents of the state.

    SPA 13-008 – Optional MAGI-based Eligibility Groups
    Updates the State Plan to include optional MAGI-based eligibility groups (S14, S50, S51, S52, S53, S54, S55, S57 and S59), effective January 1, 2014.

    SPA 13-007 – Mandatory MAGI-based Eligibility Groups
    Updates the State Plan to include MAGI-based eligibility groups (S25, S28, S30, S32 and S33), effective January 1, 2014.

    SPA 13-006 – Prior Quarter Coverage
    Updates the State Plan to reflect that prior quarter coverage will be covered, effective January 1, 2014.

    SPA 13-005 – Eligibility Process
    Single streamlined application or alternative, Renewals, Coordination for enrollment and eligibility (agreements with Exchanges)

    SPA 13-004 Drug Coverage
    Updates the State Plan to exclude the coverage of barbiturates and benzodiazepines for dual eligibles as Part D covers them effective January 1, 2013.

    SPA 13-003 Primary Care Service Payments
    Updates the State Plan to reflect that reimbursements for certain Primary Care Services will comply with the Affordable Care Act.

    SPA 13-002 Technical Correction
    Updates the State Plan to make technical correction that incorporates the changes approved in SPA #11-017A.

    SPA 13-001 Tobacco Cessation Services for Pregnant Women
    Updates the State Plan to include Tobacco Cessation Counseling Services for Pregnant Women effective January 1, 2013.