Establishes a readmission payment methodology for acute inpatient hospital services.

Allows health plans to require cost sharing for certain beneficiaries under managed care. This carries over a policy for the same group under the state's fee-for-service programs, and as such will not increase costs or utilization.

Provides assurance that the state is in compliance with the non-emergency medical transportation (NEMT) requirements outlined in Section 1902(a)(87) of the Social Security Act.

establishes the reimbursement rate for intensive residential substance use disorder (SUD) treatment for adolescents (clinically managed medium intensity residential services for adolescents, intensive).

Include the substance use disorder care management services to the state’s Alternative Benefits Plan.

Adds medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan.

Non-Emergency Medical Transportation (NEMT) requirements

With this amendment, the state will:

1. lower the WHODAS assessment eligibility score requirement from 50 to 25 to increase the number of potential participants,
2. permit the use of medical records as an additional verification option for completing program eligibility forms,
3. increase rates for Training and Support for Unpaid Caregivers and Community Transition services, and
4. reduce provider qualifications for services to expand the provider pool in the state.

will allow inpatient psychiatric services for individuals under the age of 22 to be provided in private psychiatric residential treatment facilities (PRTF) and includes a reimbursement methodology for this new setting.