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OH-21-0003

Effective 1/1/21 this SPA rescinds the temporary expansion of Prior Authorization (PA) for medications that allowed automatic renewal of PA without clinical review or time/quality extensions, which was approved in Disaster Relief SPA OH-20-0012 in response to the COVID-19 Public Health Emergency (PHE).

Section 1135 Waiver Flexibilities - Texas Coronavirus Disease 2019 (Initial Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on March 30, 2020 and subsequently on May 22, 2020, July 23, 2020 and September 30, 2020. Your initial request submitted to CMS on March 25, 2020 detailed two federal requirements that pose issues or challenges for the health care delivery system in Texas that CMS initially approved on November 25, 2020.

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Section 1135 Waiver Flexibilities - Nevada Coronavirus Disease 2019 (Second Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Nevada for multiple section 1135 flexibilities on April 7, 2020. Your follow-up communication to CMS on December 15, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Nevada that CMS initially approved on December 18, 2020.

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Section 1135 Waiver Flexibilities - Kentucky Coronavirus Disease 2019 (Third Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Kentucky for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on December 17, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Kentucky.

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NC-21-0003

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this COVID - 19 Medicaid Disaster Relief Round 7 State plan amendment is to allow pharmacists to administer vaccines for COVID-19.

PA-20-0002-CHIP

This SPA demonstrates the state’s compliance with section 5022 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.

CA-21-0016

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increase the reimbursement of oxygen, oxygen equipment and respiratory equipment to 100% of the corresponding Medicare rates and exempt these rates from the 10 percent payment reductions authorized in the state plan.

Section 1135 Flexibilities - Arkansas SUPPORT Act Section 1006(b) Communication (Third Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Arkansas for multiple section 1135 flexibilities on March 23, 2020. The COVID-19 pandemic has created delays with the submission of coverage and payment State Plan Amendments (SPAs) in alignment with regulatory SPA submission and notice timelines.

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TX-21-0001

CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow licensed practitioners practicing within their scope of practice, such as nurse practitioners and physician assistants, to order Medicaid home health services during the COVID-19 pandemic.
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