Proposes inpatient hospital and outpatient hospital differential adjusted payments to facilities owned or operated by the Indian Health Services (IHS) or tribes under PL 93-638

Seeks an exception to 42 CFR §455.502(b), the Medicaid Recovery Audit Contractor (RAC) program

Adds additional service units using the prior authorization (PA) process per the Mental Health Parity and Addiction Equity Act (MHPAEA)

The purpose of this State Plan Amendment is to comply with the federal 21st Century CURES Act which requires states to implement electronic visit verification for personal care services by January 1, 2021.

Inpatient Hospital Services: Cost Coverage Add-On Updates

Provides a yearly inflationary increase for multiple services: outpatient hospital, clinic, laboratory, durable medical equipment, optometric, chiropractic, dental, diagnostic/screening/preventative, and ambulatory surgical centers reimbursement rates as of July 1, 2020

This plan amendment provides a yearly inflationary increase for targeted case management reimbursement rates as of July 1, 2020

Provides a yearly inflationary increase for rural health clinic reimbursement rates as of July 1, 2020.

Provides a yearly inflationary increase for personal care services reimbursement rates as of July 1, 2020.

Designates entities that furnish health care items and services covered under the state plan as qualified entities to make presumptive eligibility determinations for the family planning group