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Increases the payment rates for nursing facilities owned and operated by the South Carolina Department of Mental Health based on the 2015 cost reports trended to the rate year 2016.
This SPA adjusted the reimbursement policy eliminating the primary care physician rate increase originally authorized by the Federal Health Care & Education Reconciliation Act of 2010.
This state plan amendment proposes to include applied behavior analysis-based therapy in the specialized behavioral health services provided by Managed Care Organizations (MCOs) in the Healthy Louisiana program.
Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, for the period January 1, 2015 through December 31, 2015.
Extends the Ambulatory Patient Group methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, to reflect the recalculated weights with component updates to become effective January 1, 2015.
This SPA allows the Mississippi Division of Medicaid to remove specific staff names of MS DOM and Mississippi Band of Choctaw Indians personnel and to revise the notification time frame to thirty (30) days for state plan amendments.
This amendment proposes to increase reimbursement rates for psychiatric residential treatment facilities for children and youth (PRTFs) due to the state's statutorily increases to hourly minimum wages.