This amendment is to add asthma preventive services as a preventive service.

This amendment proposes to implement Express Lane Eligibility (ELE).

Updates the statutory reference authorizing a hospital opting out of the inpatient “Full Cost” Payment Program if the hospital meets the criteria for the inpatient rate enhancement.

updates the fee schedule effective dates for several Medicaid programs and se1vices. This is a regular, budget neutral update to keep rates and billing codes in alignment with the coding and coverage changes from the Centers for Medicare and Medicaid Se1vices (CMS), the state, and other sources. These changes are routine and do not reflect significant changes to policy or payment.

Updates the reimbursement methodology for the state’s Hospital Back-Up Program. Specifically, rate setting will be based on the level of care needs of members, prospectively.

increases occupational therapy, physical therapy and speech-language pathology services by sixteen percent on April 9, 2022 and fifteen percent on April 1, 2023.

Removes restrictions to the utilization of standard telephone for services delivered via telehealth.

renews and updates the state's critical access hospital inpatient supplemental payments

Adjust the reimbursement methodology for nursing facilities to align with the Medicare Patient Driven Payment Model (PDPM), incentivize quality care and staffing levels, and include a $70 million annual quality incentive payment tied to Long Stay STAR ratings.