INPATIENT ACUTE RATES AND WEIGHTS

This SPA is to provide 12-months of continuous eligibility for children under age 19.

This amendment is to eliminate the Dental Healthy Behaviors requirement and remove the basic dental benefit package from the Alternative Benefit Plan (ABP).

This amendment adds coverage for seizure detection devices as durable medical equipment provided the seizure detection device is medically appropriate, and the recipient's health care provider has identified that a seizure detection device would assist the recipient experiencing a seizure or provide data to the health care provider necessary to appropriately diagnose or treat a health condition of the recipient that causes the seizure activity.

This SPA updates the service unit limit from 240 to 360 per client for targeted case management-transition coordination, adds eligible individuals that reside in a hospital, adds eligible individuals that are at-risk of institutionalization, and changes the name of the service from Transition Services to Transition Coordination Services.

This amendment establishes a primary care case management program (PCCM) for pregnant individuals.

This SPA is to align with dental plan changes made to the state plan, eliminate the $750-per-year adult dental benefit limit, to allow public health licensed dental hygienists to provide certain dental services, and to better align language in the State Plan with state regulations in 471 NAC 6.