Medicaid State Plan Amendments

This amendment was submitted in order to update the fee schedules for Adult and Pediatric Medical Day Care Services.

This SPA updates the effective date and fee-schedules for Ambulatory Surgical Clinic Services, In-home Peritoneal Services, Physician Services, Licensed Behavior Analysts, Substance Use Rehabilitation Services, Personal Care Services, Personal Care Services for Community First Choice Option, Chore Services for Community First Choice Option, and Long Term Services and Supports (LTSS) Targeted Case Management.

This amendment updates the coverage and payment methodologies for substance use disorder clinic services.

This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2023 through June 30, 2024.

This SPA is being submitted to remove the rate freeze and increase the Mississippi Conversion Factor by five percent (5%).

Updating payment amount for University of Colorado School of Medicine Supplemental Payment for Physician and Professional Services at Qualifying Colorado State- Owned or Operated Professional Services Practices.

To increase Psychiatric Residential Treatment Facility (PRFT) rates to $500 per day for level 1 and $600 a day for level 2.

This amendment updates the coverage and payment methodologies for substance use disorder clinic services.

This amendment is to include the new adult group in Community Care of North Carolina (CCNC) primary care case management entity (PCCMe) program eligibility.

This amendment is to include the new adult group in Eastern Band of Cherokee Indians (EBCI) Tribal Option primary care case management entity (PCCMe) program eligibility.