Medicaid State Plan Amendments

On August 1, 2023, the Centers for Medicare and Medicaid services (CMS) received Missouri State Plan Amendment(SPA) MO-23-0014 to increase the Care Coordination component of the Primary Care Health Home Per-Member-Per-Month rate.

This SPA, removes the Medication Therapy Management (MTM) specific section to avoid duplicated language within this section.

This SPA updates the effective date of the transportation services fee schedule.

This SPA updated rates and billing codes in alignment with the coding and coverage changes from the Centers for Medicare and Medicaid Services (CMS), the state, and other sources.

The proposed amendment updates the rate methodology and payment rates for Primary Home Care (PHC) and Community Attendant Services (CAS) to support base wage increases for certain personal attendants. The proposed amendment also revises the initial cost report database to calculate the direct care cost component to be the most recent PHC Medicaid cost report database.

This state plan amendment aligns payment for certain prescription drugs with Medicare Part B.

This amendment proposes to add Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT) and Paramedic provider types.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Foster Care.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Health Services.

This plan amendment updates the methods and standards used to determine the rates of payment for Adult Day Habilitation Services.