Medicaid State Plan Amendments

Effective January 1, 2024, this amendment updates the nursing facility reimbursement rate budget adjustment factor as well as the Class Line 504 amount.

This amendment updates nursing facility rates effective January 1, 2024.

Effective for services on or after July 1, 2024, this amendment updates per diem rates for Psychiatric Residential Treatment Facility services to adjust annually for inflation using the Centers for Medicare and Medicaid Services Inpatient Psychiatric Facility Market Basket.

This amendment updates the Medicaid State Plan to provide coverage and reimbursement for Child Abuse Examination Services.

This SPA modifies the reimbursement methodology for COVID-19 vaccines and vaccine administration.

This SPA removes language that set Physician Administered Drug Program (PADP) fee schedule rates as of January 1, 2015 and allows for rates to be updated.

This plan amendment updates payment to Rural Health Clinic (RHC) providers.

This plan amendment updates payment to Federally Qualified Health Centers (FQHC) providers.

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend certain COVID-19 disaster relief policies originally approved in Disaster Relief SPAs IL-20-0004, IL-20-0013, IL-21-0004, IL-21-0005, and IL-23-0016. This amendment also proposes to add a new Section 7.4.C to temporarily increase the asset test to $17,500 for Medicaid beneficiaries determined eligible through the Aged, Blind, and Disabled category.