Medicaid State Plan Amendments

This plan amendment updates the payment methodology for case management services.

This plan amendment updates rates for Mental Health Centers.

This plan amendment updates the pool amount for outpatient supplemental payments made to noncritical access hospitals.

This amendment adds Orthodontic services to the Early Periodic Screening, Diagnostics and Treatment (ESPDT) benefit for patients under age 21.

This plan amendment updates the payment methodology for case management services and certain
rehabilitative services.

This amendment looks to enable recoveries of overpayments in the Medicaid State Plan. The Medicaid recovery audit contractors seek to increase the maximum allowable Medicaid contingency fee from 12.5 percent to 17.46 percent for all claim types.

This plan amendment removes the approved annual inflationary increases for certain home health items.

This plan amendment updates the methodology for setting reimbursement rates for Federally Qualified Health Centers (FQHC) and Rural Health Centers (RHC).

This plan amendment updates the reimbursement of prosthesis to include for purposes of whole-body health for participants in Fee-for-Service.

This SPA updates the payment methodology for prescribed drugs and allows for coverage of drugs authorized for import by the Food and Drug Administration to mitigate the effects of a drug shortage.