CO-24-0011
This plan amendment updates the plan by making adjustments to the All Patient Refined-Diagnosis Related Group (APR-DRG) to align with Version 40.
This plan amendment updates the plan by making adjustments to the All Patient Refined-Diagnosis Related Group (APR-DRG) to align with Version 40.
This plan amendment clarified the language and payment methodology for Rehabilitative/Behavioral Health Services.
This plan amendment revises the reimbursement methodologies for Psychiatric Residential Treatment Facilities (PRTF) and hospital supplement payments for freestanding children's hospitals with greater than fifty percent Medicaid utilization.
This amendment will allow Medicaid to exempt the following drugs from Medicaid co-payments: Opioid Antagonists, Nicotine Replacement Therapy, and medications used to treat opioid use disorder.
This SPA adds payment for new Collaborative Care Model services under the Physician and Other Licensed Practitioner benefits.
The proposed amendment updates the physicians' and other practitioners' program fee schedule.
This plan amendment increased laboratory and radiology, podiatry, chiropractic, PT/OT and any other practitioner’s procedure codes under the CMS Resource Based Relative Value (RBRVS) to a minimum of 80% of current Medicare rate.
This plan amendment updates the authority to set a principal balance minimum payment amount for nursing facilities for any loan issued after October 1, 2019, that has a loan period greater than four years.