Medicaid State Plan Amendments

This SPA increased the reimbursement rates for behavioral health with a 3.4% cost of living adjustment (COLA).

Plan proposes to provide supplemental payments to Assisted Living Program sites.

This SPA authorizes increased FFP for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act.

This SPA added hearing aid evaluation codes and rates to the statewide fee schedule and reimburses unlisted codes at 75% of the manufacturer’s suggested retail price (MSRP).

This plan proposes to implement a 5.4% statutory cost of living adjustment (COLA) for specific programs and services.

This plan proposes to implement a Cost of Living Adjustment (COLA) for Day Treatment, Article 16 Clinics, Independent Practitioner Services for Individuals with Developmental disabilities (IPSIDD) and Crisis Services for Individuals with Intellectual and/or Developmental Disabilities (CSIDD).

This plan proposes to end the 1.5% across-the-board payment reduction for non-institutional services.

This State Plan Amendment (SPA) proposes revise the Medicaid reimbursement methodology for nonemergency medical transportation services and add clarifying language relating to emergency transportation. Emergency and non-emergency medical transportation services will be reimbursed at the Medicare urban ambulance rates for Indiana, if available, that take effect January 1 of the calendar year preceding the Medicaid rate effective date.

This amendment is to update the allowable providers who may supervise Community Health Workers (CHW).

This amendment proposes to establish coverage and payment methods for doula services.