Medicaid State Plan Amendments

This plan amendment proposes to allow the state to individually negotiate reimbursement rates for EPSDT providers when it is demonstrated that the in-state payment methodology insufficiently accounts for the level of acuity, effective July 1, 2024.

This plan amendment updates the Financial Management Services Agencies (FMSAs) fee schedule, effective October 1, 2024.

This plan amendment increases rates for personal care services and skilled nursing evaluations.

This amendment is to increase its medically needy income levels.

This amendment proposes to update language regarding behavioral analysis services to clarify eligible providers and excluded procedures.

This amendment is to update State Plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

This plan amendment extends enhanced payments to private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), in order to allow more time to address the needs of private ICF/IID that still rely on this variance while continuing to provide services to the residents of these facilities.

This plan amendment authorizes the Department to make supplement payments to certain nonprofit nursing facilities in a city of the second class A in a county of the third class.

This plan amendment authorizes the Department to make supplement payments to certain nonpublic nursing facilities in a home rule county of the second class.

This plan amendment equalizes rates for certain hospitals.