Updates the Current Dental Terminology (CDT) dental codes set in alignment with current dental industry and federal codes standards and updates previous CDT codes eligible for Prop. 56 supplemental payments with new CDT codes

Updates California's All Patient Refined Diagnosis Related Group (APR-DRG) payment parameters for state fiscal year 2021-2022

This plan amendment increases 18 select primary care and OB/GYN codes to the 2020 Medicare levels (rates) for those physicians eligible for enhanced rates.

This plan amendment increases air ambulance reimbursement rates

Renews and modifies the facility-specific rate setting methodology for freestanding skilled nursing facilities and subacute care units of freestanding skilled nursing facilities.

This plan amendment updates the Arizona Outpatient Differential Adjusted Payment (DAP) Program.

Medicaid Recovery Audit Contractor Program

Wyoming will be removing the 40 Quarters requirement for Medicaid eligibility.

This SPA updates the language regarding state law on advance directives.