Effective January 1, 2023, this amendment proposes a behavioral health per-diem add-on rate for specified nursing facility
residents.

Increase Children's Group home rate.

Effective October 1, 2022, this amendment proposes a three percent (3%) increase to base per diem rates for nursing facility services.

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 allow for Emergency Case Management services provided during the Public Health Emergency (PHE) to continue to be provided until January 1, 2024.

This SPA adds conforming updates in state law, including commissioner authority to grant variance of behavioral health home service provider requirements; clarification of provider requirements and expectations; corrects the list of qualified positions for a Qualified Health Home Specialist, and adds requirement for Behavioral Health Home (BHH) providers to notify the contact designated by an enrollee’s managed care plan within 30 days of the start of BHH services.

Effective July 1, 2022, this amendment implements an add-on component to enable nursing facilities to cover labor costs for essential support workers to equal at least 125% of the state minimum wage, plus related taxes and benefits.

This SPA increases Health Home program reimbursement rates by 7.25%

This amendment adds coverage and reimbursement of outpatient Pulmonary Rehabilitation services to the state plan.

This amendment clarifies the methods and standards for establishing payment rates for Medicaid recipients who are not Qualified Medicare Beneficiaries.