Medicaid State Plan Amendments

This plan amendment updates rates for Youth Assertive Community Treatment (Youth ACT)/Intensive Rehabilitative Mental Health Services (IRMHS).

This plan amendment revised the Out-of-State Contiguous and Non-contiguous payment methodology for outpatient hospital services.

To request an extension of the exception from participation in the Recovery Audit Contractor's (RAC) Program.

This amendment makes technical and editorial changes to Private Duty Nursing services in Florida's State Medicaid Plan.

This plan amendment exempts CPT code 41899 from this methodology and increases payment to 95% of the Medicare rate for G0330.

This SPA establishes payment at the All-Inclusive Rate (AIR) for pharmacy service encounters, in addition to the 5-encounter limit for clinic services, at Indian Health Service (IHS) and Tribal 638 pharmacies.

This SPA updates the eligibility requirements for the Health Insurance Premium Payment program.

This SPA accept Medicaid eligibility decisions made by the Exchange or other agencies administering insurance affordability programs and to furnish Medicaid in to the same extent and in the same manner as if the applicant had been determined by the state to be eligible for Medicaid.

This amendment adds other licensed practitioner coverage for ground emergency medical providers who provide treatment at the scene.

This amendment changes coverage of extended services for pregnant women to increase the scope of services provided by physician assistants.