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CA-23-0044

This amendment is to expand the prescribing authority for enteral formulae from physicians to include physicians, nurse practitioners, clinical nurse specialists, or physician assistants.

CA-23-0037

This amendment is to add Licensed Professional Clinical Counselors (LPCCs) to the list of billable practitioners providing services at Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs) and Tribal FQHCs.

MO_Fee_BHO_Renewal_20230701-20240630

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MO_Fee_BHO_Renewal_20230701-20240630
Approval Date
Effective Date
State
Missouri
Payment Type
Fee schedule
Provider Class
Behavioral health outpatient services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MN_Fee_IPH.OPH.AMC.Oth_Renewal_20240101-20241231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MN_Fee_IPH.OPH.AMC.Oth_Renewal_20240101-20241231
Approval Date
Effective Date
State
Minnesota
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Other
Outpatient hospital service
Professional services at an academic medical center
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MN_Fee_IPH.OPH.AMC.Oth_Renewal_20230101-20231231

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MN_Fee_IPH.OPH.AMC.Oth_Renewal_20230101-20231231
Approval Date
Effective Date
State
Minnesota
Payment Type
Fee schedule
Provider Class
Inpatient hospital service
Other
Outpatient hospital service
Professional services at an academic medical center
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MI_Fee_PC.SP_Renewal_20231001-20240930

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MI_Fee_PC.SP_Renewal_20231001-20240930
Approval Date
Effective Date
State
Michigan
Payment Type
Fee schedule
Provider Class
Primary care services
Specialty physician services
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MA_VBP_IPH.OPH4_New_20230101-20230331

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MA_VBP_IPH.OPH4_New_20230101-20230331
Approval Date
Effective Date
State
Massachusetts
Payment Type
Value-based payment
Provider Class
Inpatient hospital service
Outpatient hospital service
Review Type
New
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date

MA_Fee_Oth_Renewal_20230101-20230331

Submitted by tomoe.koketsu@… on
File - Approval Letter Media
MA_Fee_Oth_Renewal_20230101-20230331
Approval Date
Effective Date
State
Massachusetts
Payment Type
Fee schedule
Provider Class
Other
Review Type
Renewal
State Rating Period Start Date
Approval Period
Single Rating Period
State Rating Period End Date
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