Medicare-Medicaid Alignment Initiative End Date Extension
 

Partnership Program Covered Outpatient and Prescription Drug Carve-Out
 

Proposes to bring  Minnesota   into   compliance   with   the   reimbursement   requirements   in   the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).
 

Clarifies the reimbursement methodology and update rates for hearing aid related services.
 

Increases the maximum allowable costs for hearing aid devices
 

Updates the Medical Equipment, Devices and Supplies (MEDS) fee schedule by updating pricing methodology to increase payment for two patient lift codes: E0639 and E0640. The SPA also reduces monthly quantities for procedure code A4259 (lancets per box of JOO) allowed without prior authorization and adds prior authorization to codes L1960 and L1970 (ankle foot orthosis).  This SPA decreases reimbursement to the following procedure codes: A6198 (alginate or other fiber gelling dressing wound cover sterile); EI028 (Wheelchair accessory manual swing away retractable); E2620 (positioning w

The proposed amendment updates the physicians’ and other practitioners’ fee schedules.
 

Authorizes 100% FFP for services provided by non-IHS/Tribal providers to Medicaid-eligible individuals who are Tribal Medicaid beneficiaries when the provider has a written care coordination agreement with an IHS/Tribal facility.
 

Updates the chemical dependency treatment facilities fee schedules