Medicaid State Plan Amendments

One-time supplemental payment in the amount of $1.2M to privately-owned CDR hospitals with Medicaid inpatient utilization exceeding 50%. Only one hospital qualifies for this payment.

The Supplemental Payment to Further Support Acute Hospital Financial Stability and Prevent Possible Impacts to Acute Hospital Service Provision and Access will provide further support to hospitals that are at risk of closure or reduction of services due to financial needs.

The purpose of this SPA is to amend the standards for payment and reimbursement for nursing facilities in order to implement the patient driven payment model for case-mix classification and mandate use of the optional state assessment item set.

Effective January 1, 2023, this amendment provides for supplemental payments for private hospital outpatient services for the service period of January 1, 2023 to December 31, 2024. The supplemental payments are in addition to base rate payments and other supplemental payments, paid to private hospitals in California for the furnishing of Medicaid fee-for-service outpatient hospital services.

This plan proposes a minimum wage adjustment for freestanding clinics and ambulatory surgical centers.

This plan amendment updates the Multi-Visceral Intestine Transplant reimbursement.

The supplemental payments are in addition to base rate payments and other supplemental payments, paid to private hospitals in California for the furnishing of Medicaid fee-for-service inpatient hospital services.

This plan amendment moves the payment for bath and toilet aids to the durable medical equipment benefit.

This plan amendment updates the methods and standards used to determine the rates of payment for supplemental payments for non-public ambulance providers.

This plan proposes providing outpatient supplemental payments to non-governmental independent licensed short-term general hospitals that are financially distressed.