This plan amendment updates the durable medical equipment, prosthetics, orthotics, and supplies fee schedule.

The SPA updates Attachment 4.19-B to add additional language explaining the existing payment methodology used for peritoneal dialysis.

Revises inpatient rates and methodologies. Specifically, this amendment is revising access payments for inpatient hospitals.

This amendment revises reimbursement methodologies for inpatient hospital rates and inethodologies for Disproportionate Share Hospital (DSH) payments.

Implements the increased asset limits for MO HealthNet permanent and totally disabled claimants, MO HealthNet blind claimants, and MO HealthNet aged claimants as mandated by state legislative action.

Updates inpatient acute hospital (in-state & out-of-state) base rates and revises the distribution methodology for High Public Payer Hospital supplemental payment to eligible hospitals. Additionally, a conditional l0% adjustment to be added to the Essential MassHealth Hospital supplemental payment.

Changes to the reimbursement methodology for private psychiatric hospital and substance abuse hospital services.

This amendment proposes a three percent increase to the Diagnostic Related Group (DRG) base rates for inpatient hospitals.

This SPA added nationally certified school psychologists employed by schools as a provider of behavioral health services.

This amendment continues to provide for supplemental payments to certain non-state government nursing homes.