Medicaid State Plan Amendments

This amendment updates the methodology for the distribution of charity care subsidy payments for disproportionate share hospitals.

This plan amendment eliminates the requirement that the Department rebase nursing facility costs by July 1, 2024, and adds the requirement that the Department reimburse at least seventy-five per cent (75%) of the as-filed settlement pursuant to a facility's cost reports within ninety (90) days of receipt.

This plan amendment makes rate year 2024 provisions for new and existing supplemental payments to ensure continued access to inpatient acute hospital services provided by qualified providers at risk due to the bankruptcy filed by Steward Health Care System LLC and its affiliates. It also makes technical edits to two quality incentive programs.

This plan amendment allows for a new supplemental payment for in-state ground ambulance providers.

This amendment proposes to align the Alternative Benefit Plan with the Medicaid state plan by adding Supported Employment as a covered service.

This amendment revises the distribution of Graduate Medical Education Trauma payments for the State Fiscal Year 2025.

This amendment revises the distribution of Graduate Medical Education (GME) and Indirect Medical Education (IME) supplemental payments for the State Fiscal Year 2025.

This plan amendment makes several updates to the reimbursement method for psychiatric residential treatment facility (PRTF) services.

This plan amendment will make inpatient and outpatient IME payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals.

This plan amendment continues the funding of multiple classes of inpatient disproportionate share hospital (DSH) payments to Medical Assistance enrolled, and qualifying inpatient acute care general hospitals.