OR-23-0028
This transmittal is being submitted to modify the criteria for the Nursing Facility bariatric staffing standards.
This transmittal is being submitted to modify the criteria for the Nursing Facility bariatric staffing standards.
Annual Disproportionate Share Hospital Audit.
This Amendment makes conforming changes to the Medicaid State Plan to modify 12-month continuous eligibility policies for children.
Nursing Facility
Payment for Services: Nursing Facility Services: Ventilator Services Reimbursement Changes
This SPA provides authority to establish hospital reimbursement, separate from the Diagnosis Related Group (DRG) payment, for Spinraza and drugs for which the State has entered CMS approved outcomes-based contract arrangements with drug manufacturers for drugs provided to Medicaid beneficiaries.
This amendment is to discontinue the Recovery Audit Contractor (RAC) program. These changes are being made due to the State having a high managed care population at 83% compared to 17% Fee for Services; therefore, the state does not project any large recoveries in the future for the RAC program.