Institutional Services - Status

2026 SPAs

SPA Number Description Original
Submission
Approved
Submission
1915(b)(4)
Waiver Application
1915(b)(4)
Approval Letter
SPA 26-17 2026 Inpatient State Public UPL Payment March 27, 2026 Pending N/A N/A
SPA 26-19 2026 Inpatient Public UPL Payments March 27, 2026 Pending N/A N/A
SPA 26-23 Indigent Care Pool Extender and Pool Reduction June 30, 2026 Pending N/A N/A
SPA 26-25 2.7% Targeted Inflationary Increase - OPWDD Inst 2026 June 30, 2026 Pending N/A N/A
SPA 26-27 2.7% Targeted Inflationary Increase - PRTF 2026 June 30, 2026 Pending N/A N/A
SPA 26-33 Hospital Investment-Inpatient June 30, 2026 Pending N/A N/A
SPA 26-36 2.7% TARGETED INFLATIONARY INCREASE - OASAS RESIDENTIAL REHABILITATION SVC FOR YOUTH - 2026 June 30, 2026 Pending N/A N/A
SPA 26-42 2.7% Targeted Inflationary Increase - OMH CPEP EOB - SFY27 June 30, 2026 Pending N/A N/A

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The proposed State Plan Amendments are not final and are subject to further revisions which may not be reflected on this website prior to final approval and inclusion in the State Plan.