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State Plan Amendments
SPAs 2023
PR SPA 23-0001 AFDC INCOME STANDARDS AND THE LOCAL POVERTY LEVEL APPROVAL
PR SPA 23-0002 MANDATORY FOSTER CARE APPROVAL
PR SPA 23-0004 DENTAL ADULT SERVICES APPROVAL
PR SPA 23-0005 AMERICAN RESCUE PLAN - COVID 19 VACCINE, VACCINE ADMINISTRATION , TESTNG, TREATMENT AN PREVENTION APPROVAL
PR SPA 23-0007 ALTERNATIVE BENEFIT PLAN APPROVAL
PR SPA 23-0011 CLINICAL TRIALS APPROVAL
PR SPA 23-0012 ADULT VACCINES APPROVAL
SPAs 2022
PR SPA 22-0001 THIRD PARTY LIABILITY (TPL)
PR SPA 22-0004 REMOVE THE SUNSET FROM THE PREVIOUS SPA (21-0011) AND KEEP THE POVERTY LEVEL TO 85% OF THE FEDERAL ONE
PR SPA 22-0005 TO REMOVE THE SUNSET DATE FOR THE INCOME DISREGARDS THAT INCREASE THE EFFECTIVE MONTHLY INCOME STANDARD FOR THE OPTIONAL CATEGORY
SPAs 2021
PR SPA 21-0001 COVID 19 VACCINE ADMINISTRATION APPROVAL
PR SPA 21-0002 MEDICATION ASSISTED TREATMENT APPROVAL (MAT)
PR SPA 21-0004 ELIGIBILITY (APPLY AND RENEW) APPROVAL
PR SPA 21-0011 MAGI POVERTY LEVEL TEMPORARY INCREASE APPROVAL
PR SPA 21-0012 TEMPORARY INCOME DISREGARD NO MAGI APPROVAL
SPAs 2020
PR SPA 20-0001 PROVIDE AND DESCRIBE HEPATITIS C BENEFITS AND LIMITATIONS APPROVAL
PR SPA 20-0002 DISASTER RELIEF FOR COVID-19 APPROVAL
PR SPA 20-0003 SINGLE STATE AGENCY APPROVAL
PR SPA 20-0007 DISASTER RELIEF FOR COVID-19 APPROVAL
PR SPA 20-0008 HEPATITIS C COVERED DRUG - REIMBURSEMENT TO PHARMACY PROVIDERS APPROVAL
PR SPA 20-0009 PROVIDER SCRENNING AND ENROLLMENT APPROVAL
PR SPA 20-0010 REMESDESIVIR AND PLAMA THERAPY APPROVAL
PR SPA 20-0011 MAGI TEMPORARY POVERTY LEVELL INCREASE APPROVAL
PR SPA 20-0012 NO MAGI TEMPORARY INCREASE INCOME LEVEL APPROVAL
PR SPA 20-0013 REINSTALL POVERTY LEVEL PRIOR SPA 20-0011 APPROVAL
PR SPA 20-0014 REINSTALL POVERTY LEVEL PRIOR SPA 20-0012 APPROVAL
SPAs 2017
PR-17-0001 MAGI BASED INCOME METHODOLOGIES APPROVAL
SPAs 2016
PR SPA 16-0001 INCOME DISREGARD FOR THE AGED, BLIND, AND DISABLED MEDICALLY NEEDY GROUPS APPROVAL
PR SPA 16-0002 MEDICAID PREMIUMS AND COST SHARING APPROVAL
PR SPA 16-0003 DENTAL SERVICES CHILDRED UNDER 21 YEARS OF AGE AND AGE 21 AND OVER APPROVAL
SPAs 2015
PR SPA 15-0001 FAMILY PLANNING SERVICES TO INCLUDE CONTRACEPTIVES PRESCRIPTION DRUGS APPROVAL
PR SPA 15-0002 TO PROVIDE COVERAGE FOR IMMUNIZATIONS FOR CHILDREN AGES 19-20 APPROVAL
PR SPA 15-0003 STATE RESIDENCY APPROVAL
PR SPA 15-0004 TO PROVIDE COVERAGE FOR EYEGLASES FOR CHILDREN UP TO AGE 21 APPROVAL
SPAs 2014
PR SPA 14-001 ALTERNATIVE BENEFITS PLAN (ABP) APPROVAL
PR SPA 14-002 ADULTS GROUPS APPROVAL
PR SPA 14-003 HOSPICE CARE FOR CHILDREN IN MEDICAID APPROVAL
PR SPA 14-007 CHIP MAGI APPROVAL
PR SPA 14-008 CHIROPRACTOR SERVICES, SKIN, BONE AND CORNEAL TRANSPLANTS SERVICES APPROVAL
SPAs 2013
PR SPA 13-002 MIPPA APPROVAL
PR SPA 13-003 FREESTANDING BIRTHDING CENTERS APPROVAL
PR SPA 13-004 SMOKING CESSANTION COUNSELING SERVICES FOR PREGNANT WOMEN APPROVAL
PR SPA 13-005A PRPL NON ABD COVERAGE GRUPO EXPANSION INCOME THRESHOLD 133 PERCENT APPROVAL
PR SPA 13-005B CODIFICATION OF ABD MEDICALLY NEEDY DISGREGARD APPROVAL
PR SPA 13-006 MAGI COMPLIANCE ELIGIBILITY GROUPS APPROVAL
PR SPA 13-007 COST SHARING ADJUSTMENT TO MATCH EXPANSION INCOME THRESHOLDS APPROVAL
SPAs 2012
PR SPA 12-001 PROVIDER PREVENTABLE CONDITIONS APPROVAL
PR SPA 12-002 REQUIREMENTS FOR THIRD PARTY LIABILITY APPROVAL
PR SPA 12-003-PARIS APPROVAL
PR SPA 12-004-PROVIDERr SCREENING AND ENROLLMENT APPROVAL
SPAs 2011
PR SPA 11-001 PROHIBITION PAYMENTS INSTITUTIONS OR ENTITIES OUTSIDE US APPROVAL
PR SPA 11-002 EARLY EXPANSION APPROVAL
PR SPA 11-003 COST SHARING APPROVAL
PR SPA 11-004 EARLY EXPANSION APPROVAL
SPAs 2010
PR SPA 10-001 RAC APPROVAL
PR SPA 10-002 COST SHARING APPROVAL
SPAs 2008
PR SPA 08-001 COOPERATION WITH MEDICAID INTEGRITY PROGRAM EFFORT APPROVAL
SPAs 2007
PR SPA 07-001 LESS RESTRITIVE METHODS FOR TREATING INCOME APPROVAL
PR SPA 07-002 RECIPIENT COST SHARING AND SIMILAR CHANGES APPROVAL
PR SPA 07-011 RESOURCE LEVELS - MEDICALLY NEEDY APPROVAL
PR SPA 07-12 EMPLOYEE EDUCATION ABOUT FALSE CLAIMS RECOVERIES APPROVAL
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