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This amendment updates provisions pertaining tointermediate care facility for individuals with intellectual disabilities (ICF-IID) services, including for Medicaid's share of assessment fees.
This amendment reduces the amount appropriated from $1,000,000 to $1,000 for annual supplemental Medicaid payments for non-rural, non-state and private acute care hospital s that qualify as high Medicaid hospitals.
Adds coverage in the preventive services benefit category of the State Plan for medically necessary services to treat autism spectrum disorders (ASD) pursuant to the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services benefit for Medicaid members under age twenty-one. SPA 15-004 also establishes reimbursement for qualified providers to perform services to treat ASD pursuant to EPSDT for Medicaid members under age twenty-one.
Enables medical clinics, rehabilitation clinics, and mental health and substance abuse clinics to be reimbursed for performing comprehensive diagnostic evaluations for autism spectrum disorder (ASD) for individuals under age twenty-one as described in the Attachment 3.1-A and 3.1-B pages with SPA 15-004.
This SPA amends Idaho's Basic Alternative Benefit Plan (ABP) by adding endorsed/certified school psychologist as individuals who can provide supervision for Community-Based Rehabilitation (CBRS) providers.
This SPA amends Idaho's Enhanced Alternative Benefit Plan (ABP) by adding endorsed/certified school psychologist as individuals who can provide supervision for Community-Based Rehabilitation Services (CBRS) providers.
This SPA is being submitted to revise medical payment recovery thresholds from a fixed amount of $0 to the use of cost effectiveness to pursue based upon the claim amount.