Medicaid State Plan Amendments

This amendment makes the following changes: maintains the $500.00 add-on per diem rate for patients on ventilators in free-standing licensed inpatient chronic disease hospitals; updates federal HCPCS and other reimbursements for physician office & outpatient, durable medical equipment, orthotics and prosthetics, and medical surgical supplies fee schedules; and implements a rate increase of 4.9 percent for select home health services.

This amendment proposes removing the premiums requirement for participation in the Medicaid Workers with Disabilities (MWD) Program.

This plan amendment updates the reimbursement methodology for nursing facility services for State Fiscal Year 2025.

This plan amendment provides for a four percent inflationary increase for inpatient hospital services.

This amendment is to ensure all minimum requirements outlined in Section 1902(a)(87) of the Social Security Act are met.

This amendment is to update the clinical trainees provider definition listed under Rehabilitative Mental Health Services, Targeted Case Management, Substance Use Disorder Treatment Services, Expanded Substance Use Disorder Treatment Services, and Medication-Assisted Treatment.

This amendment adds the National Diabetes Prevention Program under preventative services as a stand-alone program in the state plan. 

This plan amendment updates the reimbursement fee schedule for psychiatric residential treatment facility (PRTF) services for State Fiscal Year 2025.

This plan amendment updates the list of hospitals receiving state fiscal year 2024 private hospital supplemental payments.

This plan amendment increased the rates for air ambulance services to better align with Medicare.