Medicaid State Plan Amendments

This plan amendment increases the Arizona Health Care Cost Containment System (AHCCCS) Fee for Service Nursing Facility Per Diem Rates.

This plan amendment establishes a new class of supplemental payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals that have a negative operating margin, high MA share of net patient revenue (NPR), low commercial NPR, and are in an area of the Commonwealth with a disproportionate need for MA services.

This plan amendment adds language to clarify when hospital transfers qualify for outlier payments and includes a detailed list of applicable discharge status codes that determine payment eligibility.

This plan amendment authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency transports provided between January 1, 2024, and December 31, 2024.

This plan amendment increased the reimbursement rates for dental services.

This SPA updates the fee schedule rates for Multi-Specialty Interdisciplinary Clinic (MSIC) services.

This plan amendment proposes to clarify the calculation of medical education payments.

This plan amendment updates the payment methodology for inpatient hospital services.

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

Updates state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.