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OK-21-0041

Updates and clarifies the frequency and method for re-basing Certified Community Behavioral Health (CCBH) Prospective Payment System (PPS) rates based on cost reports.

FL-22-0007

Updates the inpatient hospital reimbursement methodology for Indirect Graduate Medical Education (IME) payments to specify calculation of annual IME payments based on the most recently filed and available cost reports. The amendment also adds inpatient state directed payment arrangements allowed under 42 CFR 438.6(c) approved pre-prints and made through managed care plans (“Inpatient DRG Enhanced Rate”) to the calculation of annual IME payments.

CT-22-0018

Rate increases for nursing facility services. Specifically, it implements a 10 percent increase to base rates, and effective July 1, 2022 a benefit and pension per diem rate increase with a pool amount of $30.8 million.

KS-22-0021

This amendment adds Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) reimbursement rates for periodontal
maintenance and for the use of prefabricated porcelain and ceramic crowns on primary teeth, as well as for the repair of crowns on primary teeth. It also increases ESPDT pediatrician reimbursement rates.

SC-21-0012

makes changes to the South Carolina Disproportionate Share Hospital (DSH) payment program, Medicaid Inpatient and Outpatient Hospital payment programs, and the Psychiatric Residential Treatment Facility (PRTF) payment program.