Medicaid State Plan Amendments

This plan amendment updates the methods and standards used to determine the rates of payment for Complex Care Assistant Services.

This plan amendment updates the methods and standards used to determine the rates of payment for Children’s Behavioral Health Initiative services.

This SPA proposes to increase the professional dispensing fee based on prescription volume.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Habilitation Services.

This amendment proposes to consolidate Registered Nurse (RN) and Licensed Practical Nurse (LPN) services into one consolidated nursing service and revises policy for reimbursement to family members under the Early and Periodic Screening Diagnosis and Treatment (EPSDT) benefit.

This SPA, removes the Medication Therapy Management (MTM) specific section to avoid duplicated language within this section.

This SPA updates the effective date of the transportation services fee schedule.

This SPA updated rates and billing codes in alignment with the coding and coverage changes from the Centers for Medicare and Medicaid Services (CMS), the state, and other sources.

The proposed amendment updates the rate methodology and payment rates for Primary Home Care (PHC) and Community Attendant Services (CAS) to support base wage increases for certain personal attendants. The proposed amendment also revises the initial cost report database to calculate the direct care cost component to be the most recent PHC Medicaid cost report database.

This state plan amendment aligns payment for certain prescription drugs with Medicare Part B.