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CT-12-0021

This plan amendment makes the following changes: increases the rate for pediatric complex care skilled nursing services provided by home health agencies by 1.7%, reduces the rates for diabetic test strips and lancets on the medical/surgical supplies fee schedule to 100% of the current Medicare rates, and reduces specified soft quantity limits for certain procedure codes within the medical/surgical supplies, durable medical equipment (DME), and prosthetic/orthotic fee schedules. 

MA-21-0029

This plan amendment provides updates to the methods and standards for setting payment rates for physician, certified nurse-midwife, certified pediatric and family nurse practitioner, and other midlevel practitioner services.

CT-21-0023

This plan amendment allows Connecticut to make the following changes: increase rates for nurse-midwife and podiatrist services to 100% of the applicable physician rates, add select vaccines to the physician office and outpatient and medical clinic fee schedules, incorporate quarterly Healthcare Common Procedure Coding System (HCPCS) updates to the physician office and outpatient and medical clinic fee schedules, and update specified performance measures for the supplemental reimbursement for obstetrical services. 

VA-21-0029

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to provide a one-time $1,000 payment to personal care providers who provided services to members who receive services via EPSDT during the first quarter of state fiscal year 2022. The SPA also provides a temporary 12.5% rate increase for personal care, respite, and companion services provided via EPSDT from July 1, 2021 through December 31, 2021.

OR-21-0018

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to extend the period in which rates were increased to selected mental health and substance use disorder providers due to COVID-19 PHE under approved SPA TN OR-21-0006. This will extend that period from July 1, 2021 through the end of the PHE.

NC-21-0015

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment to rescind a temporary rate increase for outpatient hospital services as approved under Disaster Relief SPA TN 20-0009.