The ICF-IID Levels of Care structure and administration per diem rates are being revised.

This SPA updated the rates for outpatient Sole Community Hospitals.

To update Community Care of North Carolina (CCNC) program eligibility criteria to indicate that if a primary care case management entity (PCCMe) member opts into the Tailored Care Management Health Homes benefit, the member will be disenrolled from the PCCMe program to avoid duplication of services.

This amendment aligns the Alternative Benefit Plan for 19- 20-Year-Old Medicaid Expansion Members.

To update Eastern Band of Cherokee Indians (EBCI) Tribal Option program eligibility criteria to indicate that if a primary care case management entity (PCCMe) member opts into the Tailored Care Management Health Homes benefit, the member will be disenrolled from the PCCMe program to avoid duplication of services.

Attached for your review and approval is the Original Submission of NY SPA 22-0056 (ELIMINATE 1.5% NH RATE REDUCTION), along with evidence of tribal consultation

This SPA proposes to increase the professional dispensing fee based on prescription volume.

This amendment updates Nursing Facility provider enrollment and increases Nursing Facility Rates for State Fiscal Year (SFY) 2024.

This plan amendment updates the Alternative Payment Methodology (PPS) for Federally Qualified Health Centers (FQHCs).