This amendment was submitted in order to update the reimbursement methodology for 1915(j) Self-Directed Personal Care Assistance Services.

This plan amendment revises Medicaid reimbursement for COVID-19 vaccine administration and COVID-19 monoclonal antibody infusion administration.

Updates the fee schedule for long-acting injectable medications administered in Inpatient Hospital psychiatric settings.

This amendment revises the supplemental payment methodology to Nursing Facilities (NFs) for state fiscal year (SFY) 2022. Specifically, Idaho Medicaid will utilize a one-year NF Patient-Driven Payment Model (PDPM) Upper Payment Limit (UPL) methodology to distribute supplemental payments to qualifying providers.

Increases the nursing home reimbursement rates to include updating rates to the 2019 cost report, the general and professional liability, property tax pass through rate, a 5% growth allowance inflation factor and a hold harmless provision, and increases the supplemental quality incentive payments to eligible nursing facilities who demonstrate improvement in certain identified areas.

This state plan amendment updates the description of Florida Agency for Health Care Administration (AHCA) procedures for audits of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), specifying that audits shall be based on American Institute of Certified Public Accountants (AICPA) Attestation Standards for examining or reviewing statistical information and data.

This plan updates the reimbursement methodology for procedure code K0553.

This plan incorporates the 2021 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the medical surgical supply fee schedule.

This SPA provides Modification of Reimbursement to Local Governments for Ambulance Services.

This plan amendment updates the language regarding the auditing practices utilized within the County Health Department Reimbursement methodology.