Medicaid State Plan Amendments

Nursing Facility MQIP

The purpose of the amendment is to update the quality measures and associated weights for the health home quality incentive payment methodology. The updated methodology was reduced from ten weighted measures to seven. The total quality incentive payment pool for this disbursement remained the same

This amendment was submitted in order to update the rates for Federally Qualified Health Centers (FQHC).

This amendment would expand providers who are eligible to furnish case management services for two Target Case Management Groups (TCM). (Children at risk ages 0-5 and pregnant women), by revising the provider qualifications.

This amendment proposes to allow the state to add coverage for selected drugs that treat obesity

This SPA amendment is to elect the option described in section 1902(e)(16) of the Social Security Act to provide 12 months of postpartum coverage to Medicaid-eligible pregnant individuals.

This amendment is Recovery Audit Contractor (RAC} Program Exemption

This amendment updates the State's Alternative Benefit Plan (ABP) to add managed care organizations (MCO) and prepaid ambulatory health plans (P AHP) for expansion adults.

This amendment expands Peer Support Services, which allows providers outside of the Community Mental Health Center (CMHC) network to employ Peer Support providers and to be reimbursed for providing Peer Support Services.

This amendment (1) allows Indiana Medicaid to reimburse for medically necessary nursing services in school-based services pursuant to a Medicaid enrolled student's educational program or plan as required by the Individuals with Disabilities Education Act (IDEA) or Section 504 of the federal Rehabilitation Act of 1973. 29 U.S.C. 794 and (2) includes coverage for school psychologist testing services if done by a licensed individual and school-based transportation for children under IDEA.