IL-21-0014
This amendment implements a health services initiative (HSI) to extend the postpartum period from 60-days to 12 months for women whose newborns had been covered as targeted low-income children from conception to birth.
HI-21-0010
This amendment implements a health services initiative (HSI) to improve the health of low-income children by increasing their access to needed vision services and glasses through a targeted, school-based initiative.
WA-21-0011
Allows the state to transfer the administrative functions and responsibilities of personal care and respite Individual Provider (IP) management from the Department of Social and Health Services (DSHS) and Area Agency on Aging (AAA) staff to a single contracted CDE vendor, the Consumer Direct Care Washington, LLC.
MA-21-0018
This plan amendment provides updates to the rate of payment for hearing services. This SPA is making changes to (1) increase rates for certain hearing services covered by an adjustment of 9.66%; (2) incorporate certain cochlear implant device related services and increase these rates by an adjustment of 9.66%; and (3) establish service-specific codes and rates for bone-anchored hearing aid (BAHA) services.
MA-21-0019
This plan amendment provides an update the methods and standards used by Massachusetts to determine rates of payment for renal dialysis clinic services. The proposed amendment adds a cost adjustment factor (CAF) of 5% to the portion of the bundled rate for dialysis procedures only, resulting in the proposed bundled rate of $185.18
IL-21-0007
Proposes to increase encounter rates for FQHCs
CA-21-0028
Adds Medication Therapy Management (MTM) to Licensed Pharmacist Services under the Other Licensed Practitioner (OLP) benefit; remove the Treatment Authorization Request (TAR) requirement from Licensed Pharmacist Services; and updates the rate methodology for Licensed Pharmacist Services by adding rates for MTM
MS-21-0001
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 reimburse all Mississippi Medicaid pharmacies, physicians, and non-physician practitioners 100% of the Medicare rate for the administration of an FDA-approved COVID-19 vaccine. The Division of Medicaid will reimburse Federally Qualified Health Centers (FQHCs) and Rural Health Centers (RHCs) outside of the PPS rate for administering the COVID-19 vaccine at 100% of the Medicare rate only if there is no corresponding encounter.
VA-21-0016
Increases the rates for psychiatric services, anesthesiologists, and supplemental physician payments
AL-21-0006
Proposes to add medication-assisted treatment (MAT) as a mandatory benefit in the Medicaid state plan