Proposes to allow the state to enter into a single, state-specific Supplemental Rebate Agreement (SRA) with drug manufacturer(s). The state will initially focus on providing an unlimited supply of HCV antiviral agent drugs, in exchange for the state paying a capped amount of money each year for these drugs.

This amendment revises the reimbursement methodology for nursing facility services.

This amendment adds tier 4 to Montana Medicaid's Patient Centered Medical Home (PCMH) Program and update the tier score methodology.

This amendment adds community crisis homes as a behavioral intervention services provider setting under the State Plan Home & Community Based Services (HCBS) benefit.

SPA submitted to revise your approved TiTle XIX state plan to update the payment methodology for family planning clinics.

SPA submitted to revise your approved Title XIX plan to update the payment methodology for Community Health and Mental Health Center Services

This SPA is to revise your approved Title XIX state plan to update the payment methodology and coverage provisions for Substance Use Disorder Treatment Clinic Services.

Continues disproportionate share hospital payments to enhance access in economically distressed areas.

Revises the Standard ABP coverage provisions for substance use disorder treatment clinic services.

Revises the CarePlus ABP coverage provisions for substance use disorder treatment clinic services.