Medicaid State Plan Amendments

This plan updates rates for Targeted Case Management (TCM).

This amendment revises the state plan to reflect that Ohio imposes property liens on account of benefits incorrectly paid.

This amendment updates language for excluded drugs covered by SCDHHS including weight loss medicine, prescription vitamins & minerals and OTC drugs.

This plan amendment updates the annual Medicare Relative Value Units (RVU)s for physician services.

This plan amendment updates rates for Youth Assertive Community Treatment (ACT), and Adult Residential Crisis Services.

The purposed amendment will add the current process of implementing updated inpatient and outpatient hospital per diem rates published by the by Indian Health Services (IHS) in the Federal Register.

This plan amendment increases Pediatric Behavioral Therapy (PBT) rates.

We have reviewed the proposed amendment to Attachments 4.19-D of your Medicaid State plan submitted under transmittal number 24-0001 titled “Payment for Services: Nursing Facility Services - Ventilator Program.”

This amendment continues authorization for Medical Assistance Day One Incentive (MDOI) payments to nonpublic nursing facilities and provides the funding levels for the MDOI payments for Fiscal Year (FY) 2023-2024.

The definition of rural designation for inpatient psychiatric services is changed from an average county population density of 225 per square mile to 300 per square mile based on 2020 census data.