To revise reimbursement for ground ambulance providers licensed as Class I-III to make interim and final supplemental payments

This amendment modifies the state’s paper and online applications to integrate eligibility for the state’s 1115 family planning demonstration waiver into the state’s Medicaid eligibility application and eligibility determination system. The changes are limited to inclusion of two additional questions to ensure an applicant can apply and be determined eligible for family planning coverage, as provided under Montana’s section 1115 family planning demonstration.

This amendment clarifies the existing methodology for distribution of the rural enhancement for personal care services. 

This amendment adds a COVID-19 Administration Fee

 This amendment proposes adding coverage and payment methodology of Personal Care Attendant Services (PCAP) in the U.S. Virgin Islands Medicaid program, approved initially on March 25, 2021.  At the time of approval, the end of the PHE was not known.  Now that the date is known, this SPA has been updated to reflect an effective of May 12, 2023.

Amendment to update Medicaid Fee Schedules for Adult Day Health and Private Duty Nursing Rates

This SPA rescinds the temporary Presumptive Eligibility (PE) flexibilities, approved in Disaster Relief SPA OH-20-0012 in response to the COVID-19 Public Health Emergency (PHE), which expanded the populations for which PE determinations could be made.

Effective 1/5/21 this State Plan Amendment rescinds the temporary suspension of beneficiary copayments that was approved in DR SPA OH-20-0012 in response to the COVID-19 Public Health Emergency (PHE).

Effective March 18, 2020, the agency rescinds the election at A.1. of section 7.4 (approved on May 8, 2020 in SPA Number MT-20-0024) of the state plan to furnish medical assistance to the optional eligibility group.

Effective 1/1/21 this SPA rescinds the temporary increase in the maximum number of bed hold days available for Nursing Facility (NF) and Intermediate Care Facility (ICF) residents from 30 days per calendar year to 60 days per calendar year, which was approved in OH-20-0012 in response to the COVID-19 Public Health Emergency (PHE).