CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to provide standardized emotional/behavioral screening to Medicaid clients.

This SPA updates the reimbursement methodology for private duty nursing and personal care services.

Effective January 1, 2023 this amendment revises rate year (RY) 2023 reimbursement for privately-owned acute care hospital services. Specifically, it implements payment for: behavioral health crisis evaluation services; acute inpatient discharge add-on; and a Clinical Quality Incentive (CQI) program.

This State Plan amendment proposes to increase the rate paid to any Medicaid-enrolled Large Private Intermediate Care Facilities for Individuals with Intellectual Disabilities that is licensed as a Comprehensive Rehabilitative Management Needs Facility.

An amendment regarding methods of payment for chronic disease and rehabilitation inpatient hospitals

This State Plan Amendment increases the per diem reimbursement rate from $589.62 to $707.54 for nursing facilities that provide specialized care to ventilator-dependent residents.

This plan amendment makes updates for Rural Emergency Hospitals (REH).

This amendment updates the provider qualifications for Personal Care Services.

This SPA authorizes an Alternative Payment Methodology (APM) for Medicaid Federally Qualified Health Centers (FQHCs).

This plan amendment updates the methods and standards used to set payment rates for acute outpatient hospitals.