This amendment is to memorialize its new state supplement eligibility standards.

This amendment adds coverage for the human papillomavirus (HPV) vaccine for persons 46 years of age or older who meet certain medical criteria.

This amendment is to assure HHSC compliance with the mandatory reporting of the CMS Child Core Set and the behavioral health measures of the Adult Core Set as per Sections 1139A(a)(4)(B) and 1139B(b)(3)(B) of the Social Security Act respectively, beginning in 2024, and annually reporting in subsequent years, on all measures on the Child Core Set and the behavioral health measures in the Adult Core Set.

This plan amendment proposes to increase the reimbursement rate for all vaccine administration services for both pediatrics and adults and to clarify and consolidate the payment parameters for vaccine administration.

This plan amendment provides an annual update to fee schedule dates, links and clarifies fee-schedule language to License Behavior Analysts.

This plan amendment updates inpatient reimbursement methodologies of changing cost-settled rates for critical access hospitals to cost-based rates, unbundling long-acting reversible contraceptives from general acute and critical access hospital per diems, and allowing costsettled rates for swing-bed providers.

This plan amendment reimburses ophthalmologists eighty-five (85%) percent of the 2024 Missouri Locality 01 Medicare Rates.