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SC-23-0018

This amendment updates methods and standards for establishing Medicaid Disproportionate Share Hospital (DSH) payments to qualifying DSH hospitals using the base year cost reporting period ending Fiscal Year 2022 to calculate interim DSH payments for the October 1, 2023, through September 30,2024, DSH payment period, and updating the inflation rate used to trend DSH base year cost to the end of the 2022 calendar year. The SPA also updates inpatient hospital swing bed and administrative day rates based upon the October 1, 2023, redetermination of nursing facility payment rates.

WA_Fee_BHI.BHO3_New_20240101-20241231

Submitted by bernard.barnes… on
File - Approval Letter Media
WA_Fee_BHI.BHO3_New_20240101-20241231
Approval Date
Effective Date
State
Washington
Payment Type
Fee schedule
Provider Class
Behavioral health inpatient service
Behavioral health outpatient services
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NM_Fee_AMC_Renewal_20240101-20240630

Submitted by bernard.barnes… on
File - Approval Letter Media
NM_Fee_AMC_Renewal_20240101-20240630
Approval Date
Effective Date
State
New Mexico
Payment Type
Fee schedule
Provider Class
Professional services at an academic medical center
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

WV_Fee_Oth1_Renewal_20230701-20240630

Submitted by bernard.barnes… on
File - Approval Letter Media
WV_Fee_Oth1_Renewal_20230701-20240630
Approval Date
Effective Date
State
West Virginia
Payment Type
Fee schedule
Provider Class
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

WV_Fee_IPH.OPH.AMC.PC_Renewal_20230701-20240630

Submitted by bernard.barnes… on
File - Approval Letter Media
WV_Fee_IPH.OPH.AMC.PC_Renewal_20230701-20240630
Approval Date
Effective Date
State
West Virginia
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Outpatient hospital service
Primary care services
Professional services at an academic medical center
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

NC_Fee_HCBS.BHO_Amend_20230701-20240630

Submitted by bernard.barnes… on
File - Approval Letter Media
NC_Fee_HCBS.BHO_Amend_20230701-20240630
Approval Date
Effective Date
State
North Carolina
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
HCBS/personal care services
Review Type
Amendment
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

IL_Fee_NF2_Renewal_20240101-20241231

Submitted by bernard.barnes… on
File - Approval Letter Media
IL_Fee_NF2_Renewal_20240101-20241231
Approval Date
Effective Date
State
Illinois
Payment Type
Fee schedule
Provider Class
Nursing facility services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

IL_Fee_Oth_Renewal_20240101-20241231

Submitted by bernard.barnes… on
File - Approval Letter Media
IL_Fee_Oth_Renewal_20240101-20241231
Approval Date
Effective Date
State
Illinois
Payment Type
Fee schedule
Provider Class
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

WA_Fee_BHI2.BHO2_Renewal_20240101-20241231

Submitted by bernard.barnes… on
File - Approval Letter Media
WA_Fee_BHI2.BHO2_Renewal_20240101-20241231
Approval Date
Effective Date
State
Washington
Payment Type
Fee schedule
Provider Class
Behavioral health inpatient service
Behavioral health outpatient services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date
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