Approved to expand the Health Home in select Michigan counties.

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency.  The purpose of this amendment is to set reimbursement for COVID-19 testing & vaccine administration to FQHCs/RHCs/ERCs.

To incorporate additions to the benefits and payment state plan pages in order to implement the Center for Medicare & Medicaid Innovation's (CMMI) Integrated Care for Kids (InCK) ModeL a child-centered local service delivery and state payment model The state will limit implementation of the InCK Model to two counties in the state utilizing CMMI waiver authority in section 1115A(d)(1) of the Social Security Act. The CMMI waiver authority is applicable only while the New Jersey InCK Model is implemented in accordance with the InCK Model's Terms and Conditions of Award.

This amendment removes the requirement that Medicaid recipients must be more than twenty miles away from any enrolled medication therapy management provider in order to qualify to receive this service via telehealth. Additionally, this amendment removes references to the drug stiripentol coverage. This drug received approval by the U.S. Food and Drug Administration and no longer requires an
exception for coverage.

This amendment is to increase an income disregard for an optional eligibility group serving individuals who are 65 years old or older or who have blindness or a disability.

This amendment is to update the state plan to ensure compliance with federal Preadmission Screening and Resident Review (PASRR) requirements.