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MI-18-0004

This SPA aligns the Michigan State Plan with our current policy and federal regulations regarding the allowance of Miller Trusts. Miller Trusts are not recognized in Michigan.

SC-18-0001

This SPA provides for the following: adding one private nursing facility to receive a supplemental payment to cover the cost of a mandatory evacuation of patient due to a hurricane; add coverage of Non-Emergence Medical Transportation (NEMT) to nursing facility services; provide an add-on to the per diem rate to pay for the NEMT services; and eliminate the occupancy required for replacement facilities for the first six months of operations.

MA-18-002

This SPA revises the payment methodology for acute hospital outpatient services to carve out certain drugs and biologics from the bundled payment.