authorizes increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP

increased federal financial participation (FFP) for newly-eligible individuals receiving postpartum coverage and further includes the addition of Attachment D, which describes the special circumstances and other proxy adjustments that are applied to account for the proportion of individuals covered under the extended postpartum coverage option who would otherwise be eligible for coverage in the adult group and for the newly eligible FFP under section 1905(y) of the Social Security Act;

Proposes to rescind the temporary third-party liability bypass for behavioral health providers who bill a third party but do not receive a response after 30 days.

amends the provisions governing intermediate care facilities for individuals with intellectual disabilities (ICFs-11D) in order to allow a one-time lump sum payment from the dedicated funding pool.

The group will cover individuals with household income up to 260 percent of the federal poverty level (FPL), the state’s current income standard for pregnant individuals in its Children’s Health Insurance Program.

This amendment is to expand the provider types that can authorize home health plans of care and order durable medical equipment in its ABP.

This amendment is to add medication management services to its ABP.

This amendment modifies the methodology for determining payment rates for targeted case management services. The amendment also provides assurances regarding case management services for institutionalized individuals, and includes one technical correction regarding the comparability of services.

This amendment amends the State Plan to remove the language regarding limitations for psychiatric residential treatment facilities.

This amendment updates the compliance oversight process under the False Claims Act such that Vermont Medicaid will ensure provider compliance through a document review electronically or via written correspondence and will no longer conduct site visits unless deemed necessary. This SPA is being amended under Section 1902(a)(68) of the Social Security Act.