Medicaid State Plan Amendments

This SPA makes permanent telehealth flexibilities for home health services and to expand qualified providers to conform with federal regulatory changes.

This amendment will carve out basic life support and advanced life support ambulance transportation as well as nonemergency medical transportation (NEMT) services for nursing facility residents from the fee-for-service Medicaid NEMT brokerage.

This amendment proposes to allow audio only services through telemedicine as described in the Medicaid Telemedicine Policy.

This SPA updates the description of the payment rate for Collaborative Care Services based on Medicare rates that are in effect at the time of service.

Proposes to provide additional payments to non-state government public residential health care facilities.

This state plan amendment adds language to reimburse ambulatory surgical centers (ASC) from a fee schedule based on Medicare’s ASC Payment System.

To add provider types and services for children and adolescents under age 21 who need autism spectrum disorder (ASD) services.

This state plan amendment updates the Medicare fee schedules, MO Healthnet fee schedules and the National Advisory Service (NDAS) used to determine outpatient reimbursement rates.

To allow pharmacists and pharmacy interns to provide Medicaid covered services to the limits of their scope of practice.

Update the cost base from 2010 to 2015, the acute rate statewide base price, and the service intensity weights