Coverage & Limitations and Payment for Services Patient-Centered Medical Homes.

Transmitted addition of a laboratory outpatient services co-payment of $3.00 for NH Premium Assistance Program participants above 100% of the federal poverty level (FPL).

This State Plan Amendment corrects the State Funds amount on the page because the original amount erroneously reflected the Total Funds amount.

The state plan amendment updates the physicians and other practitioner's fee schedule.

Changes the reimbursement methodology for Durable Medical Supplies, Prosthetics, Orthotics, and Supplies (DMEPOS).

This amendment clarifies the reimbursement methodology for covered outpatient drugs.

To add new dental codes covered under the Medicaid State Plan.

This SPA updates the rates for other provider services.

Updates the physicians and other practitioner's fee schedule.

Updates Attachment 4.19-B to reflect changes to the reimbursement methodologies for multiple out-patient services.