Hawaii MQD rebasing NF rates and changing the case mix from using the RUGs system to the Patient Driven Payment Model system (PDPM). The change is required because CMS has changed to PDPM and will no longer be supporting the RUGs system

This amendment updates provisions for dental services, increases payments for a range of Medicaid-covered services, and incorporates updates to Healthcare Common Procedure Code System (HCPCS) codes effective January 1, 2024.

Value-Based Purchasing: Ending Episodes-Based-Payments Program

This amendment provides attestations for preventive services under the Inflation Reduction Act including any covered clinical preventive services with a rating of A or B by the United States Preventive Services Task Force (USPSTF), and adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP), and their administrative costs, without cost sharing to the enrollee.

This amendment adds the Management of Self-Monitoring Blood Pressure (SMBP) treatment plans as a preventive outpatient service for persons using SMBP devices as part of their care.

This plan amendment updates the methods and standards used to determine the rates of Hearing Services.

This State Plan Amendment (SPA) proposes to increase payment up to Medicare benchmark for most medical professional, non-institutional items and services.

This amendment covers for services provided by a licensed recreational therapist.