CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to implement an incremental increase to the current Urban Indian Organization (UIO) Prospective Payment System (PPS) rates effective July 1, 2021, through the duration of the Public Health Emergency (PHE).

This amendment changes to the Preadmission Screening and Resident Review (PASRR) program procedures as follows: include and reinforce the conditions of the Exempted Hospital Discharge option for hospitals; change the term “severe mental illness” to “serious mental illness;” and remove the categorical options Convalescent Care, 5150 and 5250 in the PASRR Level I Screening process.

This amendment provides all medically necessary preventive, restorative, diagnostic, periodontal, endodontic, oral surgery, and emergent dental procedures for pregnant Medicaid recipients.

This amendment is to expand the list of providers who can prescribe physical therapy to include physicians and other licensed practitioners of the healing arts within their scope of practice under state law, as authorized by federal regulations.

Hospice Rate Annual Increase Revision

Inpatient Hospital Annual Review and Inflationary Increases

Continue this reimbursement past the PHE as reflected in this SPA. The Medicaid payment rate will continue to be is $60 per session.

Tribal Facilities recognized as 638 FQHCs to be reimbursed by an alternative payment method.