Targeted Case Management, Developmental Services.

This amendment updates the eligibility requirements and removes the dietician from the required care team.

Incorporates the 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Therapy fee schedule.

This SPA updates the state plan pages in response to interim final rules in the CMS Federal Register of December 4, 2007, Volume 72, Number 232. Targeted case management for families with children who are abused, neglected or at-risk, foster children and families of children receiving post-adoption assistance.

Targeted Case Management, Behavioral Health.

This SPA authorizes certain supplemental payments for the outpatient services of eligible general hospitals.

Targeted Case Management, Adults with Chronic Illnesses or Disabilities.

This amendment reduces Delaware Medicaid reimbursement rates for dental services by 14%.

Continuing disproportionate share hospital payments to facilities that further Pennsylvania's goal of enhanced access for Medicaid beneficiaries.

Continuing supplemental payments to facilities that provide a high volume of services in medically underserved areas.