Medicaid State Plan Amendments

The purpose of this SPA is to amend the provisions governing disproportionate share hospital (DSH) payments to increase reimbursement for DSH eligible services provided by hospitals through a cooperative endeavor agreement with the Office of Behavioral Health(OBH), in order to align the rate for OBH approved DSH days with the Medicaid inpatient psychiatric per diem rate on file for freestanding psychiatric hospitals.

This SPA provides Mississippi with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

This plan updates the rates for Ambulatory Health Care Clinics (AHCCs), Dialysis Center Services.

This amendment complies with Section 11405 of the Inflation Reduction Act (IRA) adding new mandatory coverage of Medicaid adult vaccinations.

This amendment adds Certified Recove1y Mentors (CRM) under the 'Other Licensed Practitioner' into the Oregon state plan.

This plan proposes a minimum wage adjustment for clinics.

This plan proposes updates to remove the “Behavioral Health Utilization Controls” payment reductions for clinics.

To transition the New York State Medicaid non-emergency medical transportation (NEMT) program from an administrative- services only model to a risk-based broker model authorized pursuant to Section 1902(a)(70) of the Social Security Act.

To revise the State Plan to expand coverage of store and forward services for the purposes of strengthening and sustaining telehealth as a high-quality, cost effective, and consumer-oriented form of care delivery.
 

Pursuant to state legislation that rescinds Medicaid coverage and payment provisions for outpatient health facilities (OHF), this SPA proposes to remove the obsolete Attachment 3.1-A and 4.19-B pages from the Medicaid State Plan.