SPA Memo 20-01 - Updates the standards for optional state supplementary payments.
SPA Memo 20-02 - Implements an additional clarification to bed hold day payment policy under the Hawaii Medicaid State plan. This is a temporary policy that is effective only during the period of the Presidential and Secretarial emergency declarations related to the COVID-19 outbreak.
SPA Memo 20-03 - Updates Attachment 4.19-B page 2.1 to include updated fee schedule dates, methodology and weblinks for dental, EPSDT, home pharmacy, home health agency services and medical supplies.
SPA Memo 21-01 - Updates the standards for optional state supplementary payments.
SPA Memo 21-02 - Removes the limits on smoking cessation counseling and pharmacotherapy services on Supplement to Attachment 3.1-A and 3.1-B pg. 2.1 and identifies smoking cessation services available under Preventative Services Supplement to Attachment 3.1-A and 3.1-B (13c.) pg. 4 in the State Plan.
SPA Memo 21-03 - Removes the limits on smoking cessation counseling and pharmacotherapy services in alignment with SPA 21-0002, Smoking Cessation, for the Medicaid Alternative Benefit section of the State Plan.
SPA Memo 21-04 - Creates a new eligibility group “Working Individuals with Disabilities” to keep Medicaid coverage by allowing a more liberal income and resource methodology and clarifies that working disabled adults will not have any premiums or other cost sharing charges.
SPA Memo 21-06 - Increases the component prices for private nursing facility rates by 12 percent, effective January 13, 2021.
SPA Memo 21-08 - Implements temporary policies only effective during the period of the Presidential and Secretarial emergency declarations related to the COVID-19 outbreak.
SPA Memo 21-10 - Provides expanded benefits to Hawaii Medicaid State Plan. Under the provisions of Section 2105(a)(1)(D)(ii) of the Social Security Act, Hawaii will use administrative funds under a Health Service Initiative (HSI) to create a new vision service in the CHIP State Plan Section 2.2 for children under age 19 who are eligible for Medicaid and CHIP.
SPA Memo 21-11 - Changes the current payment methodology for inpatient acute services for the Hawaii Medicaid program.
SPA Memo 21-12 - Changes in laws at the federal and state level allow pharmacists to administer and bill for certain services.
SPA Memo 21-13 - Clarifies Pharmacy Services under “Services of Other Licensed Providers” and removes the $100 limit under Podiatry Services.
SPA Memo 21-14 - Changes the payment methodology for distribution Medicaid Disproportionate Share Hospital (DSH) funds to reflect a more equitable distribution by adding new verbiage to describe each hospital's uncompensated cost adjustment methodology effective 10/01/2021.
SPA Memo 21-15 - Amends Attachment 4.19-B pg. 8.3 and creates a new page (Attachment 4.19-B pg. 8.4) of the Hospice payment section in the state plan to clarify the payment methodology and to minimize administrative burden.
SPA Memo 21-16 - Regulatory requirements for states to assure necessary transportation for beneficiaries to and from covered services are longstanding.
SPA Memo 21-17 - Allows for third-party liability payment up to 100 days instead of 90 days for claims related to medical support enforcement.
SPA Memo 21-19 - Effective January 1, 2022, removes the application of the routine cost limit and customary charge limit for cost reimbursement of distinct part nursing facilities of critical access hospitals.
SPA Memo 22-01 - Effective January 1, 2022, Supplemental Security Income beneficiaries received a 5.9% Cost of Living Adjustment increase from the Social Security Administration.
SPA Memo 22-03 - Adds a new Child and Adolescent Mental Health Division (CAMHD) Fee Schedule to include code descriptions, updated rates and description of modifiers. Also adds additional description and CMS recommendations to the Peer Support Services section in the Hawaii Medicaid State Plan.
SPA Memo 22-04 - On December 7, 2021, the Centers for Medicare and Medicaid Services (CMS) outlined new Medicaid State Plan requirements for assuring coverage of routine patient costs associated with participation in qualifying clinical trials.
SPA Memo 22-05 - Updates the Alternative Benefit Plan pages to align with the approval of SPA 22-0004 “Routine Costs for Clinical Trials” in the Medicaid State Plan.
SPA Memo 22-07 - This amendment attests to the state’s coverage of COVID-19 vaccines and vaccine administration, COVID-19 testing, and COVID-19 treatment, as required by sections 1905(a)(4)(E) and 1905(a)(4)(F) of the Social Security Act.
SPA Memo 22-08 - Extends postpartum medical coverage from a period of 60 days to 12 months effective April 1, 2022.
SPA Memo 22-09 - Pregnant Woman Proxy Payment Methodology
SPA Memo 22-10 - Assessment of CHIP operations and overall progress through CHIP Annual Report Template System (CARTS).
SPA Memo 22-11 - Medicaid Recovery Audit Contractors (RACs) July 2022 contract
SPA Memo 22-12 - Amends Supplement to Attachment 3.1-A and 3.1-B pg. 3-3a and Supplement to Attachment 3.1-A and 3.1-B pg. 3.5 to restore and expand the basic dental benefit for adults receiving Medicaid benefits.
SPA Memo 22-13 - Allows for palliative care services to be provided in non-hospital settings.
SPA Memo 22-14 - Monkey Pox Vaccine Administration rate
SPA Memo 23-01 - This amendment is required to increase the monthly income standards for Domiciliary Care Type I from $1,492.90 to $1,565.90 and for Domiciliary Care Type II from $1,600.90 to $1,673.90 for 2023.
SPA Memo 23-02 - Waives counseling signature requirements under §456.705-Prospective drug review (c) and 1927 (g)(2)(A)(ii) during the Public Health Emergency (PHE) period.
SPA Memo 23-04 - Mandates individuals to be eligible in the Former Foster Care Children (FFCC) group if they were receiving Medicaid while in foster care in any state (and meet all other eligibility criteria) effective January 1, 2023 under Section 1002(a) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
SPA Memo 23-05 - Hawaii has amended Attachment 3.1-A and 3.1-B pg. 3.2.b related to non-legend drugs. Coverage is listed on the Hawaii Medicaid website.
SPA Memo 23-06 - Hawaii received approval to waive collecting enrollment application and revalidation fees for institutional providers statewide.
SPA Memo 23-08 - Increases payment for most medical professional and non-institutional items and services to reflect the current payment methodologies up to 100% of the Medicare benchmark in effect for the prior calendar year.
SPA Memo 23-09 - Submitted to CMS for housekeeping purposes to align the extended services section in the Hawaii state plan with the expansion of postpartum care “60 days to 12 months” which has already been implemented.
SPA Memo 23-10 – This amendment is required to meet Section 5112(a) which amends Section 1902(e)(12) of the Social Security Act (SSA) to mandate one year continuous eligibility in Medicaid for children under age 19.
SPA Memo 23-14 - Updates Hawaii MQD rebasing Nursing Facility rates and changes the case mix from using the Resource Utilization Group (RUGs) system to the Patient Driven Payment Model system (PDPM).
SPA Memo 24-01 - Effective January 1, 2024, Supplemental Security Income beneficiaries received a 3.2% Cost of Living Adjustment increase from the Social Security Administration.
SPA Memo 24-03 - Updated Non-Emergency Medical Transportation (NEMT) pages to align with new guidance CMS State Medicaid Director (SMD) letter #23-006
SPA Memo 24-05 - Addition of Mental Health Counselors (MHC) and Marriage and Family Therapist (MFT) to list of Medicaid Providers that can provide services under Rural Health Clinics (RHCs)/Federally Qualified Health Centers (FQHCs).
SPA Memo 24-07 - Increases the reimbursement rate for all vaccine administration services.
SPA Memo 24-09 - Vision Services Health Services Initiative (HSI) modification of Employee Sponsored Insurance (ESI) methodology
SPA Memo 24-12 - Increases the personal needs allowance (PNA) for individuals living in certain long-term care facilities from $50 to $75 and for couples living in certain long-term care facilities from $100 to $150 effective October 1, 2024 as allowed under new Hawaii state law.
SPA Memo 24-13 - Increases the state supplemental payment for Domiciliary Care Level I and Level II care homes.
