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OK-19-0035

Proposes a five percent (5%) increase to reimbursement rates for inpatient hospital services including: Diagnosis-related group inpatient hospitals, freestanding rehabilitation hospitals, and inpatient critical access hospitals

TX-19-0015

Allows the state to comply with the Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act

NJ-19-0018

Proposes to allow the state to comply with the Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the Substance Use-Disorder Prevention that promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act 

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Section 1135 Waiver Flexibilities - Georgia Coronavirus Disease 2019 (Second Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the state of Georgia for multiple Section 1135 flexibilities on April 1, 2020.  Your follow-up communication to CMS on April 19, 2020 detailed an additional federal requirement that also poses issues or challenges for the health care delivery system in Georgia and requested a waiver or modification of the additional requirement.

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NY-20-0010

Extends the Ambulatory Patient Group (APG) methodology for freestanding clinic and ambulatory surgery center services. Revise the APG methodology to reflect the recalculated weights with component updates