Medicaid State Plan Amendments

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to permit the District of Columbia Medicaid Program to increase reimbursement to Medicaid providers to one hundred percent (100%) of the rates paid by the Medicare program in order to support additional costs related to administration of COVID-19 vaccines during the COVID-19 public health emergency effective December 11, 2020. The SPA will also clarify that COVID-19 vaccine administration may be reimbursed to the administering provider, but not the nursing facility or intermediate care facility for individuals with intellectual disabilities (ICF/IID), where the procedure is provided to a Medicaid enrolled individual. Additionally, this SPA makes the following adjustments to benefits currently covered in the state plan: Coverage of COVID 19 vaccine administration may be furnished by pharmacies, pharmacists, pharmacy interns and pharmacy technicians within their scope of practice, who are qualified providers of COVID-19 vaccines in accordance with the PREP Act Declaration and authorizations.
 

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase reimbursement rates for personal care attendants, personal care service, private duty nursing and increases private duty nursing caps.
 

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to temporarily waive of pharmacy signature requirements.

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates to providers of personal care services (PCS) and private duty nursing (PDN) under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to provide a 5% increase in payment rates for certain services provided by the Office of Developmental Disability Services.

State’s compliance with Division CC, Title II, Section 210 of the Consolidated Appropriations Act (2021), which requires mandatory Medicaid coverage of routine patient costs furnished in connection with participation in qualifying clinical trials.

Effective January 14, 2022, this amendment authorizes a one-time $30,000,000 supplemental Charity Care Subsidy Disproportionate Share Hospital (DSH) payment. Consequently, the total Charity Care Subsidy payments for state fiscal year (SFY) 2022 increases to $349,000,000.

This Amendment adds licensed School Psychologists as an Other Licensed Practitioner and updates the mental health and substance abuse practitioner qualifications for rehabilitation services.

This SPA revises prosthetic device coverage and reimbursement, and revises reimbursement for eyeglasses and outpatient hospital services.

This amendment updates the State Plan to reinstates coverage for chiropractic services and update fees for other services.