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ND-10-012

This amendment modifies the reimbursement methodology to North Dakota'sIntermediate Care Facilities for the Mentally Retarded (ICF/MRs) by amending the supplemental payment to providers who serve behaviorally challenging or medically fragile individuals whose needs exceed normal thresholds based on criteria established by the department.

SD-10-002

MIPPA: Section 112, Application of Low-Income Subsidy (LIS) Resource Tests to Medicare Savings Programs (MSPs) and Section 115, Eliminating Application of Estate Recovery to Medicare Cost-Sharing Benefits.

SD-10-003

This amendment updates State plan language by adjusting the payment amounts to qualifying disproportionate share hospitals so that total expenditures remain within the appropriated amount.

SD-10-004

This amendment updates State plan language specifically for reimbursing annual supplemental payments to teaching hospitals for costs of graduate medical education (GME).

SD-10-005

This amendment updates the inpatient hospital reimbursement methodology pertaining to the elimination of in-state hospital cost settlements. In addition, this amendment reduces the percentage of reimbursement available for out-of-state hospitals.

SD-10-006

This amendment changes the reimbursement methodology for the estimated acquisition cost (EAC) from average wholesale price (AWP) less 10.5 percent to AWP less 13 percent.

SD-10-008

This amendment updates the reimbursement methodology for inpatient hospitals participating in South Dakota Medicaid. Specifically, this amendment updates the annual Medicare Diagnostic Related Group (DRG) to reflect the current period and modifies cost outlier thresholds.