Added a new 1915(i)HCBS Benefit.

To amend the Third-Party Liability (TPL) provisions in the State Plan to make necessary updates to ensure compliance with current laws and regulations.

This amendment addresses third party liability and related Medicaid payments regarding medical support, prenatal care and pediatric services, described in attachment 4.22-B of Minnesota’s Medicaid State Plan.

Effective October 1, 2021 this amendment removes federally optional liens and recoveries. This amendment updates third-party liability section to reflect current law and practice with respect to the BBA of 2018 and it removes the language regarding the cost effectiveness premium purchase program for group health insurance that is authorized under section 1906 of the SSA.

This amendment is to clarify the Department of Health Care Services’ third-party liability practices for prenatal services and child support enforcement services.  It also amends exceptions for recovery practices and updates Medicare thresholds.

This SPA provides Washington with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.