This SPA revises prosthetic device coverage and reimbursement, and revises reimbursement for eyeglasses and outpatient hospital services.

This SPA removed pages that were left in the State Plan in error; by vacating coverage pages for Targeted Case Management for Individuals with a Traumatic Brain Injury and Targeted Case Management for Individuals in Pre - or Post - Adoption.

This SPA added pharmacists under other licensed practitioners since the state's scope of practice was expanded to allow pharmacist to prescribe certain drugs of devices with their scope of training and experience.

The SPA provides an assurance that the State complies with federal minimum requirements regarding medical transportation added by the Consolidated Appropriations Act, 2021. The SPA also clarifies language on the coverage and reimbursement transportation pages to better reflect current
practice.

This amendment added medication - assisted treatment (MAT) as a mandatory benefit to the State Plan.

This amendment proposes to temporarily modify the Puerto Rico Local Poverty Level.

This amendment expands the number of acceptable ICD_10 Diagnoses for individual with the diagnosis of brain injury, behavioral health condition and/or substance abuse disorder.

This amendment purposes to up date the fees for telehealth services and add Federally Qualified Health Centers.

This SPA proposes that the state may not adjust the patient liability of an individual receiving Medicaid Coverage for certain long-term services and supports during the COVID-19 based on public health emergency.