To permanently eliminate the premium payment requirement for children enrolled in MCHP with a family income 212 to 322 percent of the federal poverty limit.

To add the role of pharmacist as a provider type.

To update the Alternative Benefit Plan (ABP) to move specified behavioral health services provided by clinics to the rehabilitative services benefit category.

Adds Licensed Behavior Analysts (LBAs) to the definition of a "Credentialed Addiction Treatment Professional." It recognizes them as a provider type under the Addiction and Recove1y Treatment Services (ARTS) program.

Removes outdated case management language for assisted living facility residents.

This plan amendment establishes a supplemental payment for Mental Health Centers.

This plan amendment updates COVID Administration rates.

This plan amendment updates the provisions governing qualifying criteria and reimbursement methodology for high Medicaid utilization academic hospitals in order to increase payments for inpatient hospital services.

The purpose of this SPA is to adopt provisions governing qualifying criteria and reimbursement methodology for high Medicaid utilization academic hospitals in order to increase payments for
outpatient hospital services.

This SPA specifically, the Medicare economic index will be used as an annual adjustment to payment rates. Additionally, the state is replacing the “Partner Portal”, with a population health management tool, approved by the Minnesota Department of Human Services, to identify past and current treatment or services and identify potential gaps in care.