Mandatory Education Regarding False Claims Act.

Changes to the hospital supplemental pooldollar amount and reimbursement methodology.

This amendment revises the 2018 state plan rate year disproportionate share hospital (DSH) payment adjustments and Supplemental Access payments made to qualifying providers.

This amendment modifies provisions pertaining to the identification of and non-payment for Health Care Acquired Conditions and Provider-Preventable Conditions, as required by Section 2702 of the Affordable Care Act of 2010.

To amend the My DC Health Home program.

The Department intends to modify Attachments 3. lA\/3. IB and 4.19-B of the Connecticut Medicaid State Plan in order to add detail regarding coverage and reimbursement for behavioral health rehabilitation services pursuant to EPSDT, as detailed in the State Plan pages.

This SPA increases the rate on the home health fee schedule for skilled nursing services billed with Healthcare Common Procedure Coding System (HCPCS) Modifier TG-Complex High Level of Care.

This SPA incorporates various 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the physician anesthesia, office and outpatient, physician radiology and surgical fee schedules. Codes that are being added are being priced using a comparable methodology to other codes in the same or similar category.

This SPA incorporate the 2018 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the Independent Radiology and Independent Laboratory fee schedules to remain compliant with the Health Insurance Portability and Accountability Act (HIPPA).

Allows the Texas Health and Human Services Commission (HHSC) to make Medicaid Direct Graduate Medical Education payments to nine non-state government-owned and operated teaching hospitals.