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This amendment changes the state plan Personal Care Coverage to a limit of 20 hours unless the assessed need is higher and prior authorization is obtained.
Clarifies the current physician payment methodology pursuant to CMS' request via the March 20, 2013 companion letter to CMS' approval of NJ State Plan Amendment 12-09 submitted to allow optometrists to participate in the NJ Medicaid Electronic Health Records Incentive Program.
Excludes from coverage benzodiazepines for all conditions and barbiturates for the treatment of epilepsy, cancer and chronicmental health disorders for full benefit dual eligibles as Medicare Part D will provide this coverage.
Exempts Audiology Services Provided By the Type C Communication Disorder Centers (CDCs) Located in Certain Counties from the 10% Payment Reduction Mandated by California's Assembly Bill 17.