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SC-21-0010

provides for quarterly payments to qualifying nursing facilities effective April 1, 2021 that will be paid outside the normal claim payment process via gross adjustments. The quarterly payments are provided in order to address those nursing facilities whose total occupancy and Medicaid occupancy levels have been significantly reduced by the COVID-19 pandemic.

ME-18-0008

Updates reimbursement rates for medical supplies and durable medical equipment as part of the 21st Century Cures Act. Additionally, it adds coverage of specialty modified low protein foods and their reimbursement methodology.

CO-20-0030

allows durable medical equipment (DME) subject to the upper payment limit described in Section 1903(i)(27) of the Social Security Act to be reimbursed at or below 100% of the Medicare rates.

ID-21-0001

modify the Case Management reimbursement and structure for the Primary Care Case Management Program known as Healthy Connections, and align it with the Healthy Connections Value Care Program.