This SPA proposes a temporary rate increases for providers of personal care services (PCS) and private duty nursing (PDN) under the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit.

This SPA proposes reimbursement for providers of Personal Care Services (PCS) and Private Duty Nursing (PDN) services under the Early Periodic Diagnostic and Treatment (EPSDT) benefit will be set at the same rate as 1915(c) provider rates.

This plan amendment updates the methods and standards used to determine the rates of payment for sterilization services.

This SPA is 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 (SUPPORD Act, Pub. L. No. 115-217, section 1002.

This amendment is to cover and reimburse for Dental Health Aide Therapists (DHAT) in accordance with state Senate Bill 5079 (codified in state law at RCW 70.350.020), signed into law on February 22, 2017.

The proposed amendment updates the physicians’ and other practitioners’ fee schedules.

This SPA is to amend its 1915-state plan home and community-based services (HCBS) benefit.

The purpose of this SP A is to provide language to facilitate reimbursement for pharmacist cognitive services such as MTM services and contraceptive prescribing.

This SPA implements Wisconsin's yearly increase to hospital rates. Specifically, this SPA modifies the outpatient Enhanced Ambulatory Patient Grouping Reimbursement Methodology to create a new outpatient payment per visit add-on for outpatient dental services where deep sedation is provided.

The proposed amendment, Transmittal Number (TN) 22-0025, updates the Physicians and Other Practitioners Services fee schedules. The requested effective date for the proposed amendment is June 1, 2022.