This state plan amendment establishes an Alternative Benefit Plan to serve persons eligible for Medicaid under Section 1902(a)(10)(A)(VIII) of the Social Security Act. This plan will offer Prime benefits equal to the current State Plan benefits offered in the state.

This state plan amendment establishes an Alternative Benefit Plan to serve persons eligible for Medicaid under Section 1902(a)(10)(A)(VIII) of the Social Security Act. This plan will offer Basic benefits equal to the current State Plan benefits offered in the state minus adult dental, vision, and over the counter drugs.

authorizes supplemental payments for county operated diagnostic
and treatment center services and mental hygiene clinic

This plan amendment updates methods used to determine rates of payment for psychologist rates.

proposes to amend the co-payment for brand name prescription drugs dispensed in order to eliminate the difference in co-pay between a preferred drugs and a non-preferred drug

Updates to the paper application, and the state’s election to use an alternative single, streamlined application developed by the state for individuals applying for coverage who may be eligible based on the applicable modified adjusted gross income standard

The state plan amendment updates language related to ground emergency medical transportation services and reimbursement.

Revises the reimbursement method for acute inpatient hospital rates

Changes to hospital inpatient and outpatient reimbursement 

Adds additional exempt groups from Medicaid copays