Medicaid State Plan Amendments

This plan amendment updates the rate setting methodology for freestanding skilled nursing facilities Level -B and freestanding adult subacute facilities and provides an aggregate five percent increase in the statewide weighted average labor rate component and an aggregate two percent increase in the statewide weighted average non-labor rate component for the calendar year 2023 rate year.

This plan amendment proposes to increase the Medicaid access adjustment paid to nursing facilities.

This plan amendment removes reference in the plan language to specific Federal Medical Assistance Percentage in the calculation of the nursing facility supplemental payment pool amount, effective January 1, 2024.

This plan amendment updates the payment methodology for rehabilitative services and personal care services provided by Private Non-Medical Institutions (PNMIs).

This amendment is to align with the provisions of section 1262 of the Consolidated Appropriations Act, 2023, by removing the requirement for a waiver for prescribing practitioners from the Medicaid State Plan.

This Amendment increases the income standard for its Optional Targeted Low-Income Children eligibility group.

To eliminate the income test for its Work Incentives eligibility group and end coverage of its Ticket to Work eligibility group.

To assess premiums to individuals covered under the eligibility group described at section 1902(a)(10)(A)(ii)(XIII) of the Social Security Act.

Allows entities licensed by the Department of Behavioral Health and Developmental Services as providers of case management services, specifically community services boards, to provide services under the brain injury services targeted case management (BIS TCM) program.

This amendment proposed to memorialize the new income standards for its  optional state supplement program and increase its medically needy income level.