This Amendment complies with the final rule that requires Health Home Core Set(s) to be a mandatory reporting element beginning 2024 pursuant to 42 CFR §§ 437.10 and 437.15.

This SPA increases the prescription drug professional dispensing fee.

This SPA provides assurance in Attachment D that the benefit package provided for all individuals through the postpartum extension complies with section 1937 of the Act, including the provision of essential health benefits (EHBs) and that no treatment limitations that are more restrictive than the Alternative Benefit Plan (ABP).

SPA implements an inflationary increase to the Health Home Per Member Per Month and Clinical Outcome Measure payment rates as appropriated by the state legislature during the 2024 legislative session effective July 1, 2024 and assures that the requirements for general and annual reporting of child and adult core sets are met.

This amendment eliminates cost sharing for medical services.

This amendment adds school psychologists as an Other Licensed Practitioner.

This amendment is to expand the Targeted Case Management Family Connects Nurse Home Visiting program into Lane County.

This amendment will combine skills restoration with skills integration and add additional practitioners to various services.