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This SPA revises Alaska's Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) to clarify private-duty nursing, hospice, chiropractic, nut odiatry services available to individuals nder 21 years of age.
This Amendment amends the income methodology provisions under the Medicaid Buy-In for Working Adults with Disabilities program to disregard the income of the applicant's spouse for the purposes of determining eligibility.
This SPA amends State Plan Attachment 4.35-H, to add alternative sanctions for Intermediate Care Facilities for Individualswith Developmental Disabilities (ICF/IIDs) that have deficiencies in meeting the applicable conditions of participation, as long as those deficiencies do not pose immediate jeopardy toresidents' health and safety.
This SPA creates a new bundled daily rate for Community First Choice providers delivering more than 12 hours daily to participants as directed by their plan of service.
This SPA allows the exclusion of particular covered outpatient drugs, or class of drugs, from the managed care organization (MCO) model in those cases where they are not included in the MCO capitated rate.
This SPA modifies Idaho's Medicare-Medicaid Coordinated Plan (MMCP) Alternative Benefit Plan (ABP) to reflect the MMCP's geographic service area reduction changes.