Medicaid State Plan Amendments

To update the State Plan as Tribal Nursing Facilities receive a Tribal 638 authority designation to be reimbursed at the OMB publishing rate.

This SPA is to align with dental plan changes made to the state plan, eliminate the $750-per-year adult dental benefit limit, to allow public health licensed dental hygienists to provide certain dental services, and to better align language in the State Plan with state regulations in 471 NAC 6.

This amendment adds coverage for seizure detection devices as durable medical equipment provided the seizure detection device is medically appropriate, and the recipient's health care provider has identified that a seizure detection device would assist the recipient experiencing a seizure or provide data to the health care provider necessary to appropriately diagnose or treat a health condition of the recipient that causes the seizure activity.

This amendment is to eliminate the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Alternative Benefit Plan (ABP).

INPATIENT ACUTE RATES AND WEIGHTS

SPA SC 23-0005 will update reimbursement methodology for SC designated rural hospitals to a cost based prospective methodology.

This plan corrects omitted language for Private Non-Medical Institutions (PNMIs).

This SPA updated the fee schedule effective dates for several Medicaid programs and services.

This plan proposes an increase to rates under the Connecticut Home Care Program for Elders.

This SPA approves a template that will authorize the state to enter in Value/Outcomes-Based Agreements with drug manufacturers for drugs provided under the Medicaid program.