Medicaid State Plan Amendments

This amendment proposes to update the description of physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders to align with 42 CFR 440.110. It will also add coverage for medically necessary audiological services for members with full benefits who are ages 21 years and older.

This amendment updates estate recovery procedures.

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 SPA AK-23-0003 pharmacy dispensing fee rates after the end of the COVID-19 Public Health Emergency, through May 11, 2024.

This plan amendment updates the reimbursement methodology for out-of-state nursing facilities to ensure continued access to nursing facilities for District Medicaid.

This plan amendment updates the outdated payment methodology for Diagnosis Related Group (DRG) hospital payments, remove the reference to a specific version of the All Patient Refined Diagnosis Related Group (APR-DRG) classification software, replace references to “chemical” use with “substance” use, and add a definition for medically necessary gender affirming care.

This plan amendment provides for a two percent inflationary increase for Intermediate Care Facility (ICFs) services.

This plan amendment extends the supplemental payments for qualifying, private hospitals and nursing facilities for an additional state fiscal year (SFY).

The purpose of this SPA is to amend the provisions governing third party liability.

This amendment is to update the State Plan to allow providers of inpatient psychiatric hospital services in an institution of mental disease to be accredited by any CMS-approved accreditation organization for psychiatric hospitals.

This plan amendment updates procedure codes for rehabilitative clinic and dental services fee schedules.