Medicaid State Plan Amendments

Inpatient Sole Community Hospital Supplemental Payments.

Amends the State Plan to implement an increase of three percent for certain Inpatient Hospital Services.

The Brain Injury Rehabilitation Facility (BIRF) rate will be increased from $700 per day to $1,400 and include non-traumatic as well as traumatic brain injury.

This amendment would allow Medicaid to reimburse for Clinically Managed Residential Withdrawal Management.  This level of care will provide beneficiaries access to residential level of care to support withdrawal management that focuses on clinical interventions, with a special emphasis on peer and social supports, instead of medically managed and supervised withdrawal management.

Proportionate Share Incentive Adjustment 2 - CPE

This amendment modifies the definition of rural hospitals to reflect the population updates in the 2020 U.S. Census and increase the minimum payment for the labor and delivery add-on for rural hospitals

Amends the State Plan to implement an inflationary increase of two percent and wage increase for ICF Services.

This amendment is to extend its current waiver from seeking a RAC vendor approved in State Plan Amendment (SPA) 22-0024 for one (1) additional year to attempt to procure a new, competitively bid RAC contract that complies with current state and federal laws and regulations.

This amendment amends the State Plan to update provider qualifications for Targeted Case Management (TCM) for individuals with Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED).

This amendment inflationary increases appropriated by the state legislature and updates the Physician Administered Drug Payment Methodologies.