This updates the bundled psychiatric service rate for Psychiatric Residential Treatment Facilities (PRFTs) services.

An increase in the Fee-For-Service nursing home per diem rate by 17% for select nursing homes.

This SPA updates the inflation and utilization trend for the required outpatient hospital upper payment limit (UPL) demonstration as well as updates the language for the private hospital supplemental payments.

To update the estate recovery process under the Medicaid State Plan.

This SPA adds reimbursement for the services provided by a community mental health center on or after August 1, 2017 that are enrolled qualified clinics approved by the state, and shall be reimbursed by the Medicaid RBRVs fee schedule, or percentage thereof, of the practitioner employed or contracted with the clinic.

This amendment proposes to stop implementation of OH SPA TN 17-041.

This updates the fee schedule effective date for MT's EPSDT services under non-institutional services 4. l 9B reimbursement.

A revision for the service number where Montana has Free Standing Birthing Centers displayed in the State Plan and adds the service's reimbursement effective date to Montana's 4.19B Introduction Page.

This clarifies MT's transportation service reimbursement, and adds Transportation to MT' s Introduction ( or Frontice) Page for non-institutional services 4.19B reimbursement.

This amendment revises the effective date for the fee schedule for many of the services on the Intro Page.