This plan amendment updates the rates for in-home providers under the Individual Service Option (ISO).

This plan amendment increases the rates for outpatient Supplemental Access Payments to Critical Access Hospitals.

This plan amendment updates the rates for Substance Use Disorder (SUD) and Medication Assisted Treatment (MAT) Services.

This plan amendment authorizes the Department to make an additional supplemental payment to certain nonpublic nursing facilities in a county of the eighth class.

This plan amendment adds opioid antagonist as an inpatient hospital service that may be billed separately.

This plan amendment updates the provisions governing leave of absence days for intermediate care facilities for individuals with intellectual disabilities (ICF/IID) in order to increase the total leave days for ICF/IID residents from 45 to 60 and from 30 consecutive days in any single occurrence to 45 consecutive days.

This plan amendment updates the rate setting methodology for freestanding pediatric subacute (FS/PSA) facilities effective July 1, 2023, and changes the FS/PSA rate year to a calendar year rate year effective January 1, 2024.

This SPA revises Idaho's Enhanced Alternative Benefit Plan to update three existing benefits: Targeted Case Management for At-Risk Children; Community-Based Rehabilitation

This plan amendment shifts the rate year for various long term care facilities to a calendar year rate year.

This plan amendment changes the APR grouper from TRICARE DRG v. 35 to APR DRG v. 40. The SPA further sets out the updated calculation of prospective base rates including adjustments for each hospital’s Medicaid Inpatient Utilization Rate (MIUR), Indirect Medical Education (IME) if applicable, Peer Group Add-On Amount if applicable, and a stop-loss/stop-gain adjustment if applicable.