This amendment Maternal Life 360 Home to include new targeted case management program for pregnant women.

This SPA authorizes revisions to the Pennsylvania Medicaid Outcome-Based Supplemental Rebate Agreement.

The definition of rural designation for inpatient psychiatric services is changed from an average county population density of 225 per square mile to 300 per square mile based on 2020 census data.
 

This amendment continues authorization for Medical Assistance Day One Incentive (MDOI) payments to nonpublic nursing facilities and provides the funding levels for the MDOI payments for Fiscal Year (FY) 2023-2024.

We have reviewed the proposed amendment to Attachments 4.19-D of your Medicaid State plan submitted under transmittal number 24-0001 titled “Payment for Services: Nursing Facility Services - Ventilator Program.”

This plan amendment increases Pediatric Behavioral Therapy (PBT) rates.

The purposed amendment will add the current process of implementing updated inpatient and outpatient hospital per diem rates published by the by Indian Health Services (IHS) in the Federal Register.

This plan amendment updates rates for Youth Assertive Community Treatment (ACT), and Adult Residential Crisis Services.

This plan amendment updates the annual Medicare Relative Value Units (RVU)s for physician services.