This amendment is to expand the settings an ambulance provider may transport a beneficiary to from only a nursing facility or hospital to any appropriate setting.

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 temporarily extend the Alternative Payment Methodology (APM) to pay Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) for COVID-19 vaccine administration.

This SPA proposes to update the coverage language for certain nonprescription drugs on the state’s Pharmacy coverage pages.

This amendment add the populations served by the following 1915(c) HCBS waivers as target groups for Targeted
Case Management: Brain Injury (BI), Children's Home and Community Based Services (CHCBS),Children with Life Limiting Illness (CLLI) Complementary and Integrative Health (CIH), Community Mental Health Supports (CMHS), and Elderly, Blind, and Disabled (EBD).

This amendment adds a target group for children with developmental disabilities receiving services through the Early Intervention program for Targeted Case Management.

To verify its AFDC income standards and local poverty level for the Puerto Rico Medicaid Program.