Medicaid State Plan Amendments

This plan amendment updates the fee schedule for long term acute care and rehabilitation hospital inpatient rates effective October 1, 2024.

This plan amendment updates All Patient Refined Diagnosis Related Group (APR-DRG) reimbursement rates for inpatient hospital services effective October 1, 2024.

This plan amendment extends the current hospital provider payment program through June 30, 2030, per the provisions of O.C.G.A. §31-8-179.6. This applies to inpatient and outpatient hospital services.

This plan amendment updates the nursing facility Differential Adjusted Payment (DAP) program for contract year ending 2025.

This plan amendment updates the Fee Schedule in lieu of listing rates.

This plan amendment updates the provisions governing qualifying criteria and reimbursement methodology for other rural hospitals in order to increase payments for inpatient hospital services.

This plan amendment adds an across-the-board adjustment of a 4.0% Cost of Living adjustment (COLA) to operating rates of payment, per the enacted 2024 Budget to the inpatient service Specialty Hospitals.

This plan amendment updates the outdated information about Small Rural Indigent Assistance Disproportionate Share Hospital payments and clarify references to Medicaid clients.

This amendment proposes to extend the Recovery Audit Contractor exception for an additional two years through June 30, 2026.

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.