Updates the pricing methodology for hospital services utilizing certain specialty drugs delivered in the inpatient hospital setting, paying a percentage of net invoice cost or full invoice cost, depending on the drug.

The proposed amendment will increase reimbursement rates for Nursing Facilities.

Add reimbursement for hospital-based stabilization services provided in specialized behavioral health emergency units.

This amendment is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.

This plan amendment is adding Inter-professional Consultation and Collaborative Care Services under the District’s physician services benefit.

This plan amendment updates rates for Adult Day Treatment and Adult Residential Crisis Stabilization Services.

This amendment allows a child to remain eligible and enrolled for a full year without consideration of changes in circumstances in accordance with the 2023 Consolidated Appropriations Act.

This amendment updates inpatient acute hospital payment methods and standards. The amendment also authorizes supplemental payment to qualifying acute hospitals and establish payment rates for new behavioral health and substance abuse use disorder services rendered in the hospital. Additionally, this amendment sunsets the state's pay-for -performance program but continue new incentive payment previously approved under the stat's clinical quality incentive program and its hospital quality and equity incentive program.

An amendment to the payment methodologies for privately-owned psychiatric hospitals and substance abuse treatment hospitals