State is implementing provisions approved in the 9817 ARPA Spending Plan, including reimbursement increases (rate increases, performance based supplemental payments, infrastructure payments); as well as expanding coverage provisions to continue services previously approved under disaster relief SPAs.

This amendment authorizes the administration of immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) by licensed pharmacies, pharmacists, pharmacy interns, and pharmacy technicians

This plan amendment increases the global pregnancy services provider reimbursement rates.

The SPA increases the DMEPOS reimbursement rates to 80% of Medicare. The SPA will also add self-monitoring blood pressure (BP) devices to the DME list for pregnant women at risk for gestational hypertension, and for persons with heart failure or end-stage renal disease (ESRD).

Due to passage of legislation during the 2023 legislature session, select emergency transportation reimbursement rates have been increased.

This plan amendment proposes to set the rates for telehealth audio-only codes 99441, 99442 and 99443 at 86 percent of the 2022 Medicare Resource-Based Relative Value Scale (RBRVS) physician fee schedule (PFS).

9811 SPA - ARP Vaccine, Treatment and Testing Template (7.7)

9811 SPA - ARP Vaccine, Treatment and Testing Template (7.7)

CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency.  The purpose of this amendment is to a temporary extension to continue the supplemental payment for in-person direct care services provided in Skilled Nursing Facilities, Adult Foster Care Homes, and Homes for the Aged currently authorized in DR SPA 21-0016.

TX added telemedicine as a permanent delivery method for HCBS Psychological Rehabilitation (PRS) and Community Psychiatric Supports and Treatment (CPST) Services in the Adult Mental Health (AMH)1915(i) benefit.