Effective January 1, 2021, this amendment allows the Division of Medicaid (DOM) to remove the list of specific Current Dental Terminology (CDT) codes.

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a temporary $29.00 increase in case mix nursing facility per diem rates.

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to temporarily suspend the 5% penalty imposed on nursing facilities (NF) for late, inaccurate, or insufficient resident assessment data used in calculating the case mix score.

CMS is approving this time-limited state plan amendment (SPA) to respond to the COVID-19 national emergency. The purpose of this amendment is to increase nursing home per diem to cover increase in cost due to public health emergency for the period 7/1/2020 – 6/30/2021.

Modifies the income limits for the Optional State Supplement Beneficiaries to reflect the Social Security Cost of living Adjustment (COLA)

updated the fee schedule effective dates for several Medicaid programs and services.

update to reimbursement rates for individual providers and agency providers

reauthorizes and continues a series of additional classes of DSH payments and two targeted supplemental payments for qualifying private acute care hospitals.

creates a new eligibility group. This group, also identified under the “Ticket to Work and Work Incentives Improvement Act” authority, allows individuals with a disability at least 19 years of age but less than 65 years of age whose income is below 138% of the Federal Poverty Level and applicable Household size a resource standard equal to three (3) times the SSI resource limit adjusted annually by the increase in the consumer price index to qualify and or keep their Medicaid coverage.

Effective February 28, 2021, this amendment continues Pennsylvania's authority to make supplemental payments to non-state government owned nursing facilities with high Medicaid occupancy rates.