Medicaid State Plan Amendments

This amendment adds medication-assisted treatment to the Alternative Benefit Plan.

This state plan amendment implements a 3.5% inflationary increase for Personal Care Services.

The purpose of this SPA is to amend the provisions governing home health services to align reimbursement with the Louisiana Medicaid fee schedule.

CMS is issuing this technical correction package for LA-23-0029 to exclude page 2a which is being deleted and to include pages 4 and 5 which were inadvertently excluded from the approval package.

This amendment is to add authority for the Community Care of North Carolina (CCNC) Primaty Care Case Management Entity (PCCMe) program to provide payments to fee-for-service (FFS) providers on behalf of the State, as described by 42 Code of Federal Regulations (CFR) 438.2.

To remove cost sharing requirements from the state plan.

This amendment is to establish coverage of dentures and partials for adults who meet medical necessity criteria.

This amendment allows occupational therapy assistants, physical therapy assistants, and speech language pathology assistants to enroll as MO HealthNet providers and bill for covered services provided to eligible MO HealthNet participants.

This SPA provides traditional state plan authority for the FY2022 and FY2023 rate setting methodology established in DR SPA 21-0015, DR SPA 22-0013, and DR SPA 23-0007. This is necessary to complete the final rate settlements for each fiscal year.

CMS is issuing this technical correction package to include the final submitted revision to Section IV Page 27. CMS included an earlier version that did not describe which cost report is used in the absence of the state plan defined cost report.

This plan updates Critical Access Hospital Supplemental Access Payments (Outpatient).