NOTICE OF INTENT TO SUBMIT STATE PLAN AMENDMENT AND SOLICITATION OF PUBLIC INPUT Pursuant to 42 C.F.R. § 430.25 Waivers of State plan requirements, 42 C.F.R. § 440.345 EPSDT and other required benefits, 42 C.F.R. § 440.386 Public notice, 42 C.F.R. §441.304 Duration, extension, and amendment of a waiver, 42 C.F.R. § 447.203 Documentation of access to care and service payment rates, 42 C.F.R. § 447.204 Medicaid provider participation and public process to inform access to care, 42 C.F.R. § 447.205 Public notice of changes in Statewide methods and standards for setting payment rates, and 42 C.F.R. § 457.65 Effective date and duration of State plans and plan amendments, the Idaho Department of Health and Welfare Division of Medicaid (Department) provides public notice of its intent to submit a State Plan Amendment (SPA) to the Centers for Medicare and Medicaid Services (CMS). PROPOSED CHANGES Idaho Medicaid intends to submit a State Plan Amendment (SPA) to the Centers for Medicare and Medicaid Services (CMS) to update the mandatory medication assisted treatment for opioid use disorder (MAT/OUD) benefit. Mandatory SPA ID-21-0005 was approved effective October 1, 2020. The SPA established coverage for the medication-assisted treat- ment (MAT) benefit for opioid use disorders (OUD) as outlined in CMS’s State Health Official Letter SHO# 20-005 RE: Mandatory Medicaid State Plan Coverage of Medication-Assisted Treatment (see Section 1905(a)(29) of the Act). Section 201 of the Consolidated Appropriations Act, 2024 made the MAT/OUD benefit at 1905(a)(29) permanent by removing the end date of September 30, 2025 (see State Medicaid Director Letter (SMD) # 24-004). CMS also made changes to the existing MAT SPA template. This amendment does not expand coverage to any additional individuals or class of individuals. These changes are consistent with Idaho Code 56-2201 Legislative Approval Required, Idaho Senate Bill S1108 Appropriations – Health And Human Services (2025), and Idaho Senate Bill S1201 Appropriations – Health And Welfare – Medicaid (2025). The Department intends to submit this amendment to CMS with a requested effective date of October 1, 2025. ESTIMATE OF EXPECTED CHANGE IN ANNUAL AGGREGATE EXPENDITURES There is no expected increase or decrease in annual aggregate expenditures. PUBLIC REVIEW When available, copies of the draft SPA pages will be posted on the IDHW website at https://healthandwelfare.idaho.gov/about-dhw/ rules-policies-procedures-and-waivers under “Medicaid policies” (PUBLIC-DOCUMENTS > About DHW > Policies & Standards > Med- icaid > Medicaid Public Notices). Unless otherwise specified, copies are also available upon request for public review during regular business hours at any Regional Medicaid Services office of the Idaho Department of Health and Welfare. LOCATIONS FOR PUBLIC REVIEW OF Custer County Oneida County PROPOSED STATE PLAN AMENDMENT Eastern Idaho Public Health, 1050 N. Clinic Southeastern Idaho Public Health, 175 Ada County Road, Suite A, Challis, ID 83226 South 300 East, Malad, ID 83252 DHW Region 4, 1720 Westgate Drive, Elmore County Owyhee County Boise, ID 83704 DHW Region 4, 2420 American Legion Southwest District Health, 132 E. Idaho, Central District Health Department, 707 Blvd., Mountain Home, ID 83647 Homedale, ID 83628 North Armstrong Place, Boise, ID 83704 Central District Health Department, 520 E. Payette County Adams County 8th Street N, Mountain Home, ID 83647 DHW Region 3, 515 N. 16th Street, Adams County Clerk’s Office, 201 Industrial Franklin County Payette, ID 83661 Avenue, Council, ID 83612 DHW Region 6, 223 North State, Preston, Southwest District Health, 1155 Third Bannock County ID 83263 Avenue North, Payette, ID 83661 DHW Region 6, 1070 Hiline, Pocatello, ID Southeastern Idaho Public Health, 50 West Power County 83201 1 St. South, Preston, ID 83263 Southeastern Idaho Public Health, 590 1/2 Southeastern Idaho Public Health, 1901 Fremont County Gifford, American Falls, ID 83211 Alvin Ricken Drive, Pocatello, ID 83201 Eastern Idaho Public Health, 45 South 2nd Shoshone County Bear Lake County West, St. Anthony, ID 83445 DHW Region 1, 35 Wildcat Way, Suite B, Southeastern Idaho Public Health, 455 Gem County Kellogg, ID 83837 Washington, Suite #2, Montpelier, ID 83254 Southwest District Health, 1008 East Panhandle Health District, 114 Riverside Benewah County Locust, Emmett, ID 83617 Avenue W, Kellogg, ID 83837 Panhandle Health District, 137 N 8th Street, Gooding County Teton County St Maries, ID 83861 South Central Public Health, 255 North Eastern Idaho Public Health, 820 Valley Bingham County Canyon Drive, Gooding, ID 83330 Centre Drive, Driggs, ID 83422 DHW Region 6, 701 East Alice, Blackfoot, Idaho County Twin Falls County ID 83221 DHW Region 2, Camas Resource Center, DHW Region 5, 601 Pole Line Road, Twin Southeastern Idaho Public Health, 145 W 216 South C Street, Grangeville, ID 83530 Falls, ID 83301 Idaho Street, Blackfoot, ID 83221 North Central Health District, 903 W Main, South Central Public Health, 1020 Blaine County Grangeville, ID 83530 Washington Street North, Twin Falls, ID South Central Public Health, 117 East Ash Jefferson County 83301 Street, Bellevue, ID 83313 Eastern Idaho Public Health, 380 Valley County Boise County Community Lane, Rigby, ID 83442 Central District Health Department, 703 1st Boise County Clerk’s Office, 420 Main Jerome County Street, McCall, ID 83638 Street, Idaho City, ID 83631 South Central Public Health, 951 East Washington County Bonner County Avenue H, Jerome, ID 83338 Southwest District Health, 46 West Court, DHW Region 1, 207 Larkspur Street, Kootenai County Weiser, ID 83672 Ponderay, ID 83852 DHW Region 1, 1120 Ironwood Drive, PUBLIC COMMENT Panhandle Health District, 2101 W. Pine Coeur d’Alene, ID 83814 The Department is accepting written and Street, Sandpoint, ID 83864 Panhandle Health District, 8500 N. Atlas recorded comments regarding the proposed Bonneville County Road, Hayden, ID 83835 changes for a period of at least thirty (30) DHW Region 7, 150 Shoup Avenue, Idaho Latah County calendar days. Any persons wishing to Falls, ID 83402 DHW Region 2, 1350 Troy Highway, provide input may submit comments. Eastern Idaho Public Health, 1250 Hollipark Moscow, ID 83843 Comments must be received by the Drive, Idaho Falls, ID 83401 North Central Health District, 333 E Palouse Department within thirty (30) days of the Boundary County River Drive, Moscow, ID 83843 posting of this notice, and must be sent Panhandle Health District, 7402 Caribou Lemhi County using one of the following methods: Street, Bonners Ferry, ID 83805 DHW Region 7, 111 Lillian Street, Suite Send Email Comments To: MCPT@dhw. Butte County 104, Salmon, ID 83467 idaho.gov Southeastern Idaho Public Health, 178 Eastern Idaho Public Health, 801 Monroe, Call and Leave Recorded Comments At: Sunset Drive, Arco, ID 83213 Salmon, ID 83467 (208)-364-1887 Camas County Lewis County Send Fax Comments To: 1-208-287-1170 Camas County Clerk’s Office, 501 Soldier North Central Health District, 132 N Hill Mail Comments To: Division of Medicaid Road, Fairfield, ID 83327 Street, Kamiah, ID 83536 PO Box 83720, Boise, ID 83720-0009 Canyon County Lincoln County Attn: Policy Team DHW Region 3, 3402 Franklin Road, South Central Public Health, Lincoln County Hand Deliver Comments During Regular Caldwell, ID 83605 Community Center, 201 South Beverly St., Business Hours (M-F from 8AM to 5PM, Southwest District Health, 13307 Miami Shoshone, ID 83352 except holidays) To: Lane, Caldwell, ID 83607 Madison County Division of Medicaid Caribou County DHW Region 7, 333 Walker Drive, Rexburg, 450 West State Street, 6th Floor, Boise, ID Southeastern Idaho Public Health, 55 East ID 83440 83720 1st South, Soda Springs, ID 83276 Eastern Idaho Public Health, 314 North 3rd Attn: Policy Team Cassia County East, Rexburg, ID 83440 The Department will review all comments DHW Region 5, 2241 Overland Avenue, Minidoka County received prior to submitting the Burley, ID 83318 South Central Public Health, 485 22nd amendments to CMS. Clark County Street, Heyburn, ID 83336 Eastern Idaho Public Health, 332 West Nez Perce County PUBLIC HEARING Main, Dubois, ID 83423 DHW Region 2, 1118 F Street, Lewiston, No public hearings have been scheduled Clearwater County ID 83501 at this time. North Central Health District, 105 115th North Central Health District, 215 10th QUESTIONS Street, Orofino, ID 83544 Street, Lewiston, ID 83501 For technical questions or to review the changes, e-mail the request to MCPT@ dhw.idaho.gov.