This state plan amendment specifies the reporting period of the Nursing Facility provider Fair Rental Value (FRV) survey, sets out the procedures for reporting FRV projects, and clarifies the scope of capital costs that can be reported as part of a project. It also updates the glossary entries for relevant terms.

updates reimbursement rates for select dental codes

implements a 2.0% across-the-board rate increase for included services within SPA CO-22-0018 and targeted rate increases and rate decreases, per state statute

provides for supplemental payments for private hospital outpatient services for the service period

updates fee schedule rates for Physical Therapy and Occupational Therapy services

This plan amendment clarifies the fee schedule methodology for Case Management services and updates the effective date of the Case Management fee schedule rates.

The State expands 1915i eligibility by accepting the attestation of an individual assessment of need, which the State Evaluation Team uses to determine am individual’s eligibility for this benefit, from additional licensed providers.

 This amendment updates the Recovery Audit Contractor (RAC) Program exemption date.

This amendment adds mandatory coverage of routine patient costs in qualifying clinical trials per the Consolidated Appropriations Act of 2021 to the state's ABP.