Medicaid State Plan Amendments

This plan updates the link to the fee schedule for eyeglasses and contacts, removes an unnecessary reference to Washington administrative code, and adds conversion factor clarification.

This plan amendment updates rates for Dental services.

This plan amendment updates rates for Prosthetic services.

This plan amendment updates rates for Physician, Certified Mid-wife, and Nurse Practitioner services.

This plan amendment updates the reimbursement rates for the Community Health Worker (CHW) services.

This plan amendment updates the Global Pregnancy reimbursement rates.

This plan amendment updates the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) reimbursement rates.

This plan amendment authorizes supplemental payments as described in the state's American Rescue Plan (ARP) 9817 spend plan.

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to extend SPA AK-23-0003 pharmacy dispensing fee rates after the end of the COVID-19 Public Health Emergency, through May 11, 2024.

This plan amendment updates the reimbursement methodology for out-of-state nursing facilities to ensure continued access to nursing facilities for District Medicaid.