CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to delay rebasing of FQHC rates to January 1, 2022 and every three (3) years thereafter.

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement home health increases consistent with the state's ARPA sec. 9817 HCBS spending plan: 1. effective July 1-31, 2021, 3.5% rate increase for services other than pediatric complex skilled nursing and additional 1% value-based payment and 2. one-time supplemental payment calculated at 5% of SFY 2021 expenditures.

This amendment proposes to add adaptive behavior supports.

Allows supplemental payments to nursing facilities, home and community-based residential facilities and in-home agencies that participate to support provision of health care premiums for eligible employees as required by SB 800 passed during the 2021 Legislative session.

Update the PCCM program to allow individuals to change their PCP without cause, and mandates enrollment for 19 and 20-year-old individuals who are eligible under Medicaid expansion.

Inpatient Rebasing and Newborn Screening Add on Payment

The purpose of this SPA is to align with KRS 205.56-1 to 205.5603 to reflect the methodology for increasing Medicaid reimbursement for ground ambulance services.

Adult Behavioral Health Services Temporary Rate Increases

Decreases inpatient hospital base rates by one percent, updates the Diagnostic Related Group (DRG) methodology to adopt Version 38 of the All Payor Refined (APR) DRG grouper system and incorporates modifications to payment adjustors.

An amendment to the rates for acute outpatient hospitals