This State plan amendment sought to describe the current reimbursement methodology for TCM, consistent with statutory and regulatory federal requirements.

This SPA allows the agency to cover Medicaid-enrolled private and charter schools for services rendered in a school setting for children under the age of 21 years.

Requests an exemption pursuant to 42 CFR 455.508(f) to the regulation requiring the states Recovery Audit Contractors (RAC) not review claims older than 3 years, as well as correct theSection number.

This amendment updated the effective date of the conversion factors used to set payment rates for several Medicaid programs.

Health fnsurance Premium Payment (HIPP) Cost.

This amendment proposes additional supplemental payments to private hospitals for inpatient services through March 31. 2018.

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

The SPA reflects the increased case management organizations monthly rate that was approved as part of NJ's State Fiscal Year 2018 Appropriations Act.

Payment rate increase for intensive treatment program for children residing in a foster care setting.

This SPA removes pre-authorization for Voluntary Inpatient Psychiatric Service FFS.