Medicaid State Plan Amendments

This plan amendment revises the reimbursement methodologies for Psychiatric Residential Treatment Facilities (PRTF) and hospital supplement payments for freestanding children's hospitals with greater than fifty percent Medicaid utilization.

This plan amendment clarified the language and payment methodology for Rehabilitative/Behavioral Health Services.

This plan amendment updates the plan by making adjustments to the All Patient Refined-Diagnosis Related Group (APR-DRG) to align with Version 40.

This amendment will allow the District to provide assurance of compliance with mandatory annual My Health GPS Health Home reporting of the Core Set of Children's Health Care Quality Measures and the behavioral health measures on the Core Set of Adult Health Care Quality Measures for Medicaid.

This amendment will allow the District to provide assurance of compliance with mandatory annual state reporting of the My DC Health Home's Core Set of Children's Health Care Quality Measures and the behavioral health measures on the Core Set of Adult Health Care Quality Measures for Medicaid.

This SPA adds payment for new Collaborative Care Model services under the Physician and Other Licensed Practitioner benefits.

This amendment is to terminate the WV Health Homes program statewide.

This amendment is to update assurances in accordance with all requirements in 42 CFR §§ 437.10 and 437.15.

This amendment is to update assurances in accordance with all requirements in 42 CFR §§ 437.10 and 437.15.

This plan amendment removes obsolete language increasing the nursing facility per diem rate by $6.13 per day. That increase has now been absorbed into the standard per diem methodology and rates.