This plan amendment updates the payment rates for private duty nursing services, updates the combined payment caps for private duty nursing and personal care service.

This State Plan Amendment updates the Durable Medical Equipment (DME) fee schedule

This SPA proposes to allow for limitation on amount, duration and scope of medical care and services provided for prescribed drugs through value-based and supplemental

Updates the fee rates for 2021 including an increase for certified nurse midwives

Effective March 31, 2021, this amendment removes a limit for psychiatric hospitalization that prevented more than 21 days in a hospital in a 60-day period for the same or similar diagnosis or treatment plan and updates practitioner terminology as it relates to working titles.

Effective for services beginning October 1, 2021, this amendment updates the reimbursement methodology for disproportionate share hospital (DSH) payments for federal fiscal year 2022. 

Effective July 1, 2021, this amendment updates the utilization trend for the outpatient hospital Upper Payment Limit (UPL) in State Fiscal Year 2021. 

Effective July 1, 2021, this amendment increases the annual maximum for the adult preventive dental benefit from $750 to $1,000 per state fiscal year; clarifies and updates the language for the allowable dental services for eligible adult beneficiaries; clarifies providers qualified to be reimbursed for delivery dental services; defines limitations and articulates reimbursement methodology for the allowable medical and surgical services for which a dentist may be reimbursed when delivered to eligible Medicaid beneficiaries.