Medicaid State Plan Amendments

This plan amendment makes several updates to the reimbursement method for psychiatric residential treatment facility (PRTF) services.

This plan amendment will make inpatient and outpatient IME payments to qualifying Medical Assistance (MA) enrolled acute care general hospitals.

This plan amendment continues the funding of multiple classes of inpatient disproportionate share hospital (DSH) payments to Medical Assistance enrolled, and qualifying inpatient acute care general hospitals.

This plan amendment modifies the reimbursement for the Primary Care Case Management Program and aligns it with the Healthy Connections Value Care Program.

The purpose of this SPA is to correct Attachment 3.1 F, page 9 and reinclude Ticket to Work Basic Group as an eligibility group.

This SPA updates 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 SPA 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 SPA will permanently remove beneficiary cost sharing requirements for non-emergency services provided in a hospital emergency departments and beneficiary pharmacy cost sharing requirements for claims with a date of service (DOS) from July 1, 2024 forward.

This plan amendment makes changes to the Community First Choice (CFC) program.

This plan amendment updates the physician office and outpatient fee schedule.