This amendment proposes to increase the minimum wage yearly for specialty and non-specialty Nursing Homes until the minimum wage reaches the per hour wage as statutorily described.

This amendment proposes wage increases to certain Intermediate Care Facilities for Individuals with Intellectual Disabilities.

Inpatient Hospital Relief Payment

Makes a DSH payment add-on per FFS and managed care day; the daily add-on is tiered dependent on the qualifying facility's Medicaid day to total ratio. This additional DSH pool will not be redistributed if overpayments occur, but recouped and federal share returned.

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 extend flexibilities related to Skilled Nursing Facilities, Personal Care Services, and Nitrous Oxide.

To adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act, Pub. L. No. 115-217, section 1002.

To transition CHIP children to the state Medicaid program.

To add coverage to Medicaid for preventive health services provided by certified dietitians and nutritionists, and Community Health Workers (CHWs) to pregnant and post-partum women.

This SPA is to bring the state’s alternative benefit plan (ABP) into alignment with the state plan to allow injections for allergy desensitization without prior approval and add marriage and family therapists as a billable provider under federally qualified health centers (FQHCs) and rural health centers (RHCs), effective January 1, 2018.