The proposed amendment updates the Clinical Diagnostic Laboratory fee schedule.

The proposed amendment updates the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule, effective September 1, 2024.

This plan amendment increases the reimbursement rates for two optometric codes (92004 and 92014) by 10%, increases the reimbursement rates for two primary care codes (99213 and 99214) to 90% of the 2024 Medicare rate, and increases the reimbursement rate for four OB/GYN codes (59400, 59510, 59610, and 59618) to the 2024 Medicare rate, and allows for an addon payment for long-acting antipsychotic drugs.

The proposed amendment updates the fee schedule for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) and Vision Care Services. Fiscal impact is for reimbursements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and Vision Care Services effective date of September 1, 2024.

This plan amendment removes obsolete language increasing the nursing facility per diem rate by $6.13 per day. That increase has now been absorbed into the standard per diem methodology and rates.

This plan amendment makes updates to rates for long-acting reversible contraceptive (LARC) devices and updates the physician services fee schedule.

This amendment adds coverage of doula services to enhance the bi1ihing experience, reduce complications, and improve outcomes for women and infants.