NY-22-0027-C
This plan amendment provides Physician Supplemental UPL Payments to Westchester, Erie, and Nassau Medical Centers.
This plan amendment provides Physician Supplemental UPL Payments to Westchester, Erie, and Nassau Medical Centers.
This plan amendment updates the Durable Medical Equipment (DME) and Physician administered fluoride varnish.
This plan amendment updates the Crisis Services.
This plan amendment authorizes the Arizona disproportionate share hospital (DSH) pool 1, 2, 1A, 2A, and 4 payments, for the DSH state plan rate year ending 2024.
This plan amendment authorizes the critical access hospital inpatient supplemental payments for the state fiscal year ending June 30, 2024.
Through this SPA, Utah updates its CHIP reimbursement methodologies for Federally Qualified Health Centers and Rural Health Clinics and clarifies the Prospective Payment System and Alternative Payment Methodologies used by the state. Also, the state also updates reimbursement methodologies for Indian Health Services and 638 Tribal Health Facilities.
Through this SPA, the state has demonstrated compliance with the Inflation Reduction Act (IRA) section 11405(b)(1) to cover adult vaccines, without cost sharing.
Through this SPA, the state provides 12 months of continuous eligibility (CE) coverage to individuals enrolled in its separate CHIP, pursuant to section 5112 of the Consolidated Appropriations Act, 2023 (CAA, 2023).
Through this SPA, the state documents the state’s compliance with the longstanding requirement to cover children’s vaccines under current regulations at 42 CFR §§ 457.410(b)(2) and 457.520(b)(4), which requires states to cover age-appropriate vaccines in accordance with the recommendations of the ACIP without cost sharing.
This SPA demonstrates compliance with the CHIP managed care regulations at 42 CFR 457, Subpart L for utilization of a managed care delivery system. Additionally, through this SPA the state is updating its process for conducting reviews of health services matters.