This plan amendment was submitted to increase the fee schedule rate to 100% of the Medicare urban ambulance fee schedule for emergency ground transportation services as well as add a mileage component for emergency transportation services. 

The purpose of this SPA is to amend the provisions governing reimbursement for end stage renal disease (ESRD) facilities in order to allow contracted independent laboratories to bill the Medicaid program directly for the provision of covered non-routine laboratory services instead of receiving reimbursement from the ESRD facility

adjusts the Medi-Cal Fee-for-Service (FFS) outpatient provider rates for Clinical Laboratory Services to no more than 80 percent  
 of the lowest maximum allowance established by the federal Medicare program for the same or similar service

Increases certain dental fee for service rates

removes brand names and make other minor technical changes

This SPA updates the third-party liability section of the state plan to use standard coordination of benefits cost avoidance when processing claims for prenatal services.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to waive the requirement for technicians delivering applied behavior analysis services to have the Registered Behavior Technician Credential due to testing center closure or delay related to COVID 19. They will continue to be required to operate under the supervision of a licensed behavior analyst or licensed psychologist.

authorizes a time-limited payment to developmental screenings for children up to 30 months of age when rendered in Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), and Indian Services Memorandum of Agreement 638 (HIS-MOA) clinics using Proposition 56 funds