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TX-21-0011

Expands the community based provider agency options for Medicaid recipients who have been found through the PASRR process to need specialized add-on services. Additionally, amendments were made to behavioral support and day habilitation services descriptions to be consistent with state administrative rule language and updates language about settling locations.

PA-21-0003

update the Program of All-Inclusive Care for the Elderly (PACE) Medicaid capitation rate methodology. This SPA transitions from using Fee-for-Service
(FFS) data to using Managed Care for development of the amount that would otherwise have been paid (AWOP) calculation.

MT-21-0019

Updates the bundled composite rate for services provided in an outpatient maintenance dialysis clinic. The Dialysis Clinic reimbursement rate will be increased by 1%.