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Allows State to Add New Managed Care Contractors When Needed, to Allow for Integrated Healthcare Delivery in Select Areas of the State, and to Update the Pre-Print To Its Most Recent Version.
Updates Physicians and Other Practitioners' Fee Schedule and Changes the Reimbursement Methodology for Physician Administered Drugs and Biological Products When a New National Procedure Code is Assigned.
This SPA updates the Coordination of Benefits/Third Party Liability (COB/TPL) cost-effectiveness threshold amounts and makes adjustments to the trauma code editing protocols.
This SPA extends Medicaid coverage for an initial period of 12 months for low-income families who no longer qualify for Medicaid due to increased earned income or working hours from the caretaker relative's employment, or due to the loss of a time-limited earned income disregard.