Medicaid State Plan Amendments

This amendment is to temporarily suspend otherwise covered benefits for the period January 1, 2024 through September 30, 2024 in response to the territory’s local funding shortfall.

This amendment removes the restriction of delivering personal care services in the home and allows services to be delivered elsewhere in the community (non-institutional settings).

To comply with the current law and revise the Medicaid State Plan to align with the Consolidated Appropriations Act of 2022 and Senate Bill 220 of the 152nd Delaware General Assembly.

This plan amendment updates the Alternative payment methodology to increase funding for FQHCs located in/operated by cities of the first class.

This plan amendment implements a one percent (1%) Cost-of-Living Adjustment (COLA) to Specialty Hospital rates.

This plan amendment updates Fee-for Service rate schedules for Physicians and Other Licensed Practitioner services.

This amendment proposed income disregards for the Qualified Medicare Beneficiary (QMB) and Qualifying Individual (QI) eligibility groups.

The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed Illinois state plan amendment (SPA) to Attachment 4.19-D IL-23-0027, which proposes increases to the reimbursement rate for facilities by the Department of Public Health under the ID/DD Community Care Act as an ID/IDD facility and medically complex for the developmentally disabled facilities licensed under the MC/DD Act.

The Centers for Medicare & Medicaid Services (CMS) has reviewed the proposed Illinois state plan amendment (SPA) to Attachment 4.19-D IL-23-0033, which proposes to increase by 12% the support component of the nursing facility rate for facilities licensed under the Nursing Home Care Act as skilled or intermediate care facilities.

This SPA establishes an emergency interim payment methodology for certain providers affected by the Change Healthcare cybersecurity incident.