Medicaid State Plan Amendments

This State Plan Amendment proposes to add a Prescriber Tool Alternative Payment Model (PTAPM) to the Physician pages, specifically the Other Licensed Practitioner (OLP) pages, which provides incentive payments to billing providers for utilization of the Real Time Benefit Inquiry Module of the Prescriber Tool and of the Preferred Drug List.

This SPA proposes increase to Medicaid provider payment rates for multiple services.

This amendment adds enhanced mobile crisis services to the Medicaid state plan.

Amends the State Plan to increase the number of therapeutic leave days for nursing facilities.

Additional Classes of Disproportionate Share Payments and Supplemental Payments to Qualifying Hospitals

Reimbursement rates for inpatient and outpatient hospital services.

The purpose of this SPA is to remove 1932(a) pages originally used for the State’s Medicare-Medicaid Alignment Initiative from the State Plan. These pages are no longer needed because CMS’ review and approval of the State’s managed care contract under 1915(a) authority will be used for this voluntary Medicaid managed care program.

This amendment is to cover adult vaccines approved by the U.S. Food and Drug Administration (FDA) and administered in accordance with recommendation by the Advisory Committee on Immunization Practices (ACIP), and their administration, without cost sharing.

This amendment is to clarify extended dental services for pregnant women this will include operative, diagnostic, and preventive services.

This amendment is to expand Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services in alignment with 1115 waiver renewal.