This amendment proposed to elect use of the Federal Poverty Level in determining income eligibility under Puerto Rico's State Plan. 

This transmittal is being submitted to increase the rate for dental services.

This Amendment changes to the income disregards and financial methodologies applied to certain medically needy groups.

This amendment provides assurances that the state complies with vaccine requirements consistent with the Inflation Reduction Act.

2022 Outpatient UPL Payments.

This amendment proposes to update the preventive services to align with the United States Preventive Services Task Force recommendations for preventive screening services and the Advisory Committee on Immunization Practices recommendations for immunizations.  Additionally, this amendment proposes to include the current reimbursement methodology for vaccines for both children and adults under the Preventive Services section of the State Plan. This amendment also proposes to remove the limits previously applied to the ambulatory care annual visits.

This amendment proposes to provide coverage of all approved vaccines recommended by the Advisory Committee on Immunization Practices and vaccine administration when furnished by a qualified provider.

2022 Voluntary Outpatient UPL Payments.