This SPA proposes to update the reimbursement methodology for physician administered drugs (PAD) to include the Nevada Medicaid’s PAD fee schedule.

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 (SUPPORT) Act.

Adds two adult dental and dentures services and increases flexibility in determining prior authorization requirements for diagnostic services.

This SPA allows the Division of Medicaid (DOM) to clarify the categories of emergency ground ambulance services.

This plan amendment updates the average commercial rate calculation of supplemental payments for physicians affiliated with Type One Hospitals in Virginia.

This plan amendment updates the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care
Workers and also updates the reimbursement section and reference to the fee schedule.

This State Plan Amendment provides an increase to the hourly rate for personal care services to $5.86 per 15 minute interval.

This plan amendment updates the rate methodology for community health centers.