This plan amendment allows for a technical adjustment, noting that physician-administered drugs are paid at the Medicare drug fee schedule rate, rather than the average sales price + 6% if the drug is listed on the Medicare drug fee schedule.

The purpose of this SPA is to attest coverage of COVID-19 vaccine, treatment, and testing as required in ARP.

The purpose of this SPA is to come into compliance with testing requirements of Section 9811 of the American Rescue Plan.

The purpose of this SPA is to come into compliance with Vaccine requirements of Section 9811 of the American Rescue Plan.

The purpose of this SPA is to come into compliance with Treatment requirements of Section 9811 of the American Rescue Plan.

State Plan Amendment (SPA) 22-0025 was submitted to allow the Division of Medicaid (DOM) to update the disproportionate share hospital (DSH) redistribution methodology following annual audits to allow
all providers who were underpaid to receive additional payment.

This SPA adjusts the reimbursement rate for the Prenatal Screening (PNS) cell-free DNA (cfDNA) Screening code 81420.

Provides authority for coverage and payment of targeted case management for individuals age 18 and older who meet Medicaid eligibility requirements, have a chronic or complex physical or behavioral health need, and were recently incarcerated.

This SPA adjusts the reimbursement rate for the Prenatal Screening (PNS) cell-free DNA (cfDNA) Screening code 81420.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to suspend premiums for the TWIIAA Basic Coverage and Medical Improvement Groups, known in Ohio as Medicaid Buy-In for Workers with Disabilities (MBIWD).