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.

Updates the outpatient hospital supplemental pool reimbursement description

This SPA proposes increases to the Medicaid maximum payment amounts for transportation services in accordance with recent state legislation

proposes to determine financial eligibility under a MAGI-based Medicaid eligibility group using gross household income determined by SNAP for SNAP participants who are certain to be income eligible using MAGI-based methods

Clarifies coverage of certain Active Pharmaceutical Ingredients (APIs) and Excipients when billed as part of a compounded drug claim

Updates the reimbursement methodology for outpatient differential adjusted payments

The proposed amendment updates emergency transportation rates