Medicaid State Plan Amendments

This plan amendment updates the payment methodology for personal care services provided by Adult Family Care Homes and Private Non-Medical Institutional "Appendix C" facilities.

Plan amendment updates the payment methodology for certain rehabilitative services.

This plan amendment updates rates for Targeted Case Management for eligible members of Department of Children and Families Services.

This plan amendment implements a 2.0% rate increase for outpatient hospital services.

This plan updates the rates for Dental Services - Manually Priced Rate methodology.

This SPA specifically, the Medicare economic index will be used as an annual adjustment to payment rates. Additionally, the state is replacing the “Partner Portal”, with a population health management tool, approved by the Minnesota Department of Human Services, to identify past and current treatment or services and identify potential gaps in care.

This plan amendment updates rates for EPSDT Therapeutic Group Homes.

This plan amendment makes updates to the physician office and outpatient fee schedule.

This plan amendment freezes the case mix adjustment to the direct component of the nursing home daily rate to allow for updating the PDPM methodology.

This plan amendment implements the process for cost settlement reopening to ensure federal claiming can be completed within the same rules and timelines as Medicare