Medicaid State Plan Amendments

This plan amendment equalizes rates for certain hospitals.

This plan amendment proposes implement a supplemental payment program for GEMT providers.

This SPA authorizes an Alternative Payment Methodology (APM) for the insertion and removal of Long-Acting Reversible Contraction (LARC) Services and for LARC devices when provided at Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs).

This plan amendment increases per diem payment for services provided to ventilator-dependent Medicaid beneficiaries residing in a ventilator-dependent wing of a contracting South Carolina Medicaid nursing facility to a total per diem rate of $708 per member, per day.

This plan amendment increases the Arizona Health Care Cost Containment System (AHCCCS) Fee for Service Nursing Facility Per Diem Rates.

This plan amendment establishes a new class of supplemental payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals that have a negative operating margin, high MA share of net patient revenue (NPR), low commercial NPR, and are in an area of the Commonwealth with a disproportionate need for MA services.

This plan amendment adds language to clarify when hospital transfers qualify for outlier payments and includes a detailed list of applicable discharge status codes that determine payment eligibility.

This plan amendment updates rates for changes of ownership in nursing facilities.

This plan amendment authorizes the Department to make an additional payment to nonpublic and county nursing facilities in a township of the first class in a county of the second class A.

This plan amendment excludes select pharmaceuticals from the DRG reimbursement system.