Medicaid State Plan Amendments

This amendment updates the coverage and payment methodologies for substance use disorder clinic services.

This SPA authorizes supplemental add-on payments to the fee schedule rates for eligible ground emergency medical transports provided July 1, 2023 through June 30, 2024.

This SPA is being submitted to remove the rate freeze and increase the Mississippi Conversion Factor by five percent (5%).

This SPA proposes to increase the professional dispensing fee for Illinois based hemophilia treatment centers for 340B purchased antihemophilic products to $207.

Updating payment amount for University of Colorado School of Medicine Supplemental Payment for Physician and Professional Services at Qualifying Colorado State- Owned or Operated Professional Services Practices.

To increase Psychiatric Residential Treatment Facility (PRFT) rates to $500 per day for level 1 and $600 a day for level 2.

This amendment updates the coverage and payment methodologies for substance use disorder clinic services.

This amendment is to include the new adult group in Community Care of North Carolina (CCNC) primary care case management entity (PCCMe) program eligibility.

This amendment is to include the new adult group in Eastern Band of Cherokee Indians (EBCI) Tribal Option primary care case management entity (PCCMe) program eligibility.

This SPA authorizes increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act;