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This amendment implements a rate reduction to the fixed component of the dispensing fee paid to Medicaid phannacy providers. It reduces the dispensing fee from $7.35 to $6.50.
This state plan amendment (SPA) updates the fee schedule rate for a variety of outpatient hospital services. The state plan amendment also modifies the rate for imaging services by basing it on 100 percent of the Medicare fee schedule in effect on January 1, 2011.
This state plan amendment limits the payments for Medicare Part B services for the dual eligible population to no more than the state plan rate, with the exceptiom of renal dialysis services. The state plan amendmeut also changes the monthly capitation payment for Medicare Part C services to $10 per member per month.
This state plan amendment documents that the State has an eligibility system for data matching through the Public Assistance Reporting Information System (PARIS). This amendment meets a requirement of section 1903 (r) of the Social Security Act.
This state plan amendment revises the state plan language for provider qualifications in the 1915 (j) program to align with the States' current Medicaid policy for consumer directed services. The State removed the option to permit participants to hire legally liable relatives.
The purpose of this amendment is to delete the pages in the Teacas state plan governing the methodology for computing inpatient, outpatient, and physician supplemental Medicaid payments, also called the Upper Payment Limit (UPL) program.
This state plan amendment changes the reimbursement methodology for brokered non-emergency transportation from fee for service to full risk capitation in thirteen (13) designated counties.