Medicaid State Plan Amendments

This plan amendment reimburses CRNAs at a rate of 100 percent of the allowable for physicians for anesthesia services in collaboration with a licensed medical doctor, osteopathic physician, podiatric physician, or dentist.

This plan amendment changed the reimbursement methodology for publicly owned Ground Emergency Medical Transportation (GEMT) providers from a cost-based reimbursement methodology to a uniform add-on rate.

This plan amendment amends language in Alabama Primary care Physician Coordinated Health Network to align with ACHN program changes.

This plan amendment updates procedure codes and fee schedules while also adding reimbursement for donated human breast milk to eligible infants.

This SPA increases the states professional dispensing fee to $11.55 per prescription.

This SPA adds language to the State Plan page attesting that the state is in compliance with the Federal Upper Limit (FUL) requirements for multiple source drugs.

This SPA was submitted to comply with the final rule that makes Health Home Core Set(s) mandatory starting in 2024.

This amendment is to memorialize its new state supplement eligibility standards.

Updates Supplement to Attachment 4.22 of Pennsylvania’s Medicaid State Plan to reflect Pennsylvania’s compliance with the third-party liability (TPL) requirements, Section 1902(a)(25)(I), as amended by the Consolidated Appropriations Act, 2022.

This amendment is to memorialize certain changes to the payment calculations of its state supplement program.