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

2025

Date Filed	Proposed SPA
12/13/24	Third Party Trauma Mailers

2024

Date Filed	Proposed SPA
12/19/23	Physician Services
12/19/23	Third Party Liability
8/12/24	Recovery Audit Contractor
8/15/24	Alabama Coordinated Health Network
9/19/24	Hospital Reimbursement
11/18/24	Physician Retention and Access Improvement Program
11/18/24	Consolidated Appropriations Act, Section 5121

2023

Date Filed	Proposed SPA
1/20/23	Recipient Signature Requirements
2/13/23	Former Foster Care Children Eligibility
3/20/23	Disaster Relief - Nursing Home Rate
4/19/23	Disaster Relief - Copays
5/8/23	Disaster Relief - Telehealth
5/15/23	Outpatient Pharmacy
5/17/23	Telehealth
5/19/23	Language Update
6/20/23	Teaching Hospital
9/11/23	Adult Vaccines
9/11/23	Mobile Crisis Services
9/19/23	Rehabilitative Services Provider Qualifications
9/19/23	Hospital Reimbursement

2022

Date Filed	Proposed SPA
1/20/22	Alabama Medicaid Disaster Relief for the COVID-19 National Emergency SPA – Nursing Facilities (Rescind)
3/10/22	Alabama Coordinated Health Network Quality Bonus Payment
4/19/22	COVID-19 Testing, Vaccination, and Administration and Related Treatments
6/17/22	Dental Benefits for Pregnant, Full Medicaid Recipients
6/17/22	Postpartum Coverage Extended to 12-Months
8/5/22	Recovery Audit Contractor
8/10/22	Disaster Relief - Nursing Facility Supplemental Payment
9/20/22	Ground Emergency Medical Transport
9/20/22	Intensive Family Intervention
9/20/22	Hospital Services Reimbursement

2021

Date Filed	Proposed SPA
1/11/21	Targeted Case Management
1/28/21	Medication-Assisted Treatment (MAT) Support Act
2/2/21	Program for All Inclusive Care for the Elderly (PACE)
2/2/21	Alabama Coordinated Health Network Quality Bonus Payment
9/20/21	Hospital Reimbursement Methodology
11/5/21	Third Party Liability
11/19/21	Nurse-Family Partnership Program
12/20/21	Non-Emergency Transportation
12/21/21	Clinical Trials

2020

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
5/6/20	Alabama Medicaid Disaster Relief for the COVID-19 National Emergency SPA – COVID Testing
5/14/20	Alabama Medicaid Disaster Relief for the COVID-19 National Emergency SPA – Inpatient Per Diem increase
6/9/20	Alabama Medicaid Disaster Relief for the COVID-19 National Emergency SPA – Dental
7/17/20	1902(r)2 and MAGI-Based Income Methodology
8/5/20	Medicaid Recovery Audit Contractor (RAC) Program
9/17/20	Nursing Homes
9/17/20	SAIL Waiver
9/17/20	Hospital Reimbursement Methodology
11/2/20	Supplemental Drug Rebate
12/1/20	Eye Care

2019

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