This SPA expand passive enrollment of the Medicare-Medicaid Coordinated Alternative Benefit Plan to three additional counties where there is only one participating health plan.

This amendment proposes to update the coverage criteria for home health services as well as medical social services and to increase the reimbursement rates for those services.

Health Home - Managed Care Implementation to reflect the change in the Integrated Health Home (IHH) Informational Only Code for Comprehensive Transitional Care from G2065 to 99429. This SPA also increases the IHH PMPM reimbursement rate for Pediatric Non-ICM enrollees (99490 TG) from $121.14 to $200.97.

Chronic Conditions Health Home - Managed Care Implementation to reflect the change in the Chronic Condition Health Home Informational Only Code for Comprehensive Transitional Care from G2065 to 99429. There were no other programmatic or reimbursement methodology changes observed.