Proposed State Plan Amendments

Amendments to the State Plan (SPAs) are required when changes to amount, duration or scope of services, or eligibility requirements are proposed. Click on links below to view SPAs by year in which they were filed.

Inquiries regarding proposed SPAs should be directed to:

Administative Secretary
Alabama Medicaid Agency
501 Dexter Avenue
Montgomery, AL  36130


Date Filed Proposed SPA
3/20/20 Home and Community Based Waivers
3/27/20 Medicaid Disaster Relief for the COVID-19 National Emergency
3/31/20 Alabama Medicaid Disaster Relief for the COVID-19 National Emergency SPA – Ambulance
4/6/20 Alabama Medicaid Disaster Relief for the COVID-19 National Emergency SPA – Nursing Facilities


Date Filed Proposed SPA
2/20/19 Alabama Coordinated Health Network
3/20/19 Nurse Practitioners
4/18/19 Outpatient Pharmacy 340b Program
5/20/19 Medicaid Recovery Audit Contractor (RAC) Program
6/19/19 Federally Qualified Health Centers
6/19/19 Rural Health Clinics
6/21/19 Supplemental Drug Rebate
9/11/19 Drug Utilization Review
9/20/19 Hospital Reimbursement Methodology
10/21/19 Teaching Physicians
12/12/19 Pharmacy Wholesale Acquisition Cost (WAC)
12/18/19 Targeted Case Management (TCM) Providers
Date Filed Proposed SPA
3/21/18 Substance Use Disorder
4/20/18 Durable Medical Equipment (DME) Reimbursement
8/20/18 Applied Behavior Analysis (ABA) Therapy
9/20/18 Hospital Services and Reimbursement
10/22/18 Autism Spectrum Disorder
10/22/18 Rehab Option - Autism Spectrum Disorder
11/19/18 Autism Spectrum Disorder EPSDT
Date Filed Proposed SPA
1/20/17 Administrative Fair Hearings Public Notice
1/20/17 Psychiatric Facilities for Individuals 65 or Older Public Notice
4/28/17 Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)
4/28/17 Payments to Teaching Physicians
7/20/17 Administrative Fair Hearings
9/20/17 Hospital Services and Reimbursement
10/20/17 Recovery Audit Contractor
11/17/17 Rehabilitative Option
Date Filed Proposed SPA
3/21/16 American Indians' Cost Sharing Exemption Public Notice
7/20/16 Medical Assistance Public Notice
9/13/16 Hospital Reimbursement
9/21/16 Physician BUMP Reinstatement
11/17/16 Recovery Audit Contractor Public Notice