Adds the procedure codes and changes the repair payment methodology to the lesser of Manufacturer’s Suggested Retail Price (MSRP) minus 15% or Actual Acquisition Cost (AAC) plus a percentage as described below (except complex rehab technology (CRT) which will continue to be paid at list price minus 18% including repairs)

Current Dental Terminology (CDT) dental code set update for procedures also receiving supplemental payments from proposition 56 funding.

rate increase for ambulance services

This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to increase payment rates for certain supplies, imaging and testing services and Nursing Facility services. This will now be equal to the Medicare reimbursement rate. Payment increases for the nursing facility are temporarily increased though the current Medicaid RUG rates. HHSC increased the direct care staff average hourly wage by $2 per hour and increased the Supplies and Dietary categories by 50%.

This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to cover the suspend all cost sharing for the Work Incentives group under 1902(a)(10)(A)(XIII) of the Social Security Act and extend all prior authorization by automatic renewal without clinical review or time/quantity extensions, and allow automatic renewal of prior authorization for medications without clinical review or time/quantity extensions.

This time-limited state plan amendment responds to the COVID-19 national emergency. The purpose of this amendment is to allow exceptions to the state's preferred drug list when shortages occur.