MO-22-0003
removes Provider Based Rural Health Clinics and Provider Based Federally Qualified Health Clinics from outpatient settlements.
ME-22-0028
Updates the reimbursement methodology for Physical Therapy, Occupational Therapy, and speech, hearing, and language disorder services to the lower of provider charges or 72.4% of the current corresponding Medicare rate and updates the fee schedule for those services not covered by Medicare.
MT-22-0019
lists new fee schedules for services within the Other Rehabilitative Services, in accordance with the 2021 Montana legislature.
IN-21-0007
Revises Medicaid reimbursement for emergency transportation providers when emergency treatment is rendered but no transportation is provided.
NY-22-0036
CMS is approving this SPA which proposes to amend the State Plan to allow the State to enter into outcomes-based contract arrangements with drug manufacturers through supplemental rebate agreements.
DE-19-0009
CMS is approving DE-19-0009 which amends the State Plan to allow Medicaid beneficiaries to request coverage from pharmacies of select FDA approved over-the-counter medications through an agreement with the Department of Public Health Medical Director for the purpose of generating a prescription and clarifies the coverage policy related to drugs indicated for the treatment of obesity.
NY-22-0083
CMS is approving this SPA which amends the State Plan to increase the professional dispensing fee paid to pharmacies by 1% from $10.08 to $10.18.
MN-22-0024
This amendment Implements Uniform Service Standards for behavioral health services including simplification to the diagnostic assessment process.
GA-22-0005
This amendment proposes to update the legal name of GA Medicaid’s medical management and utilization review vendor, remove the list of specific items and services deemed experimental or investigational, and correctly reflect the non-covered services and procedures.