Medicaid State Plan Amendments

Revises the Medicaid State Plan to comply with a CMS directive to remove non-emergency medical transportation services from the list of services covered under a Medicaid waiver.

This amendment specifies that select incontinence supplies must be supplied by the statewide contracted vendor unless prior authorized.

This amendment makes language change to Iowa's Third Party Rules related to prior authorization.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to add homemaker services during the COVID-19 public health emergency (PHE) for Idaho’s 1915(i) HCBS Adult Developmental Disability Program. The SPA also authorizes a waiver of signatures for drug dispensing during the PHE.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to 1) waive signature requirements for the dispensing of drugs during the COVID-19 public health emergency; and 2) authorize reimbursement rates for COVID-19 monoclonal antibody treatment and administration that are set equal to 100% of the Medicare national payment allowance reimbursement rate or comparable code.

Nursing home Rate Changes

This State Plan Amendment is updating the inpatient hospital reimbursement to include a new supplemental payment. The new supplemental payment is the Psych Adjustment Payment.

Budget Rate Increase for Freestanding Birthing Center Services

Medi-Cal FFS reimbursement rate updates for clinical laboratory or laboratory services

Increases reimbursement rates for some providers and services under applied behavior analysis to an amount commensurate with reimbursement rates paid by other states' Medicaid programs