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Proposed State Plan Amendments

The following are links to State Plan Amendments (SPA) that DHCS will submit to the Centers for Medicare and Medicaid Services (CMS) for review and are currently soliciting input.  These SPAs have not yet been submitted.  The final versions may be subject to significant change based on public input.
 
NOTE: Some links on this page are documents in Adobe Acrobat Portable Document Format (PDF). PDF documents require Adobe Reader. 

Proposed State Plan Amendments  

17-032 Proposed State Plan Amendment For Changes In The Process For Determining When The Diagnosis Related Group (DRG) Neonatal Intensive Care Unit (NICU) Surgery Policy Adjustor Applies To Eligible Hospitals

-Public Notice 

17-024 Proposed State Plan Amendment to Add a New Quality Measure to the Quality & Accountability Supplemental Payment Program for 2018 Award Period

         -Public Notice

 

17-020  Proposed State Plan Amendment to Change the Medi-Cal Reimbursement Methodology for the Annual Statewide Weighted-Average Rate Increase for Skilled Nursing Facilities

          -Public Notice

 

 17-019 Proposed Spa to Update the Augmentation Payments for Medi-Cal Emergency Medical Air Transportation Services Pursuant to the Emergency Medical Air Transportation Act

-Public Notice

 

17-021 Proposed State Plan Amendment to Change the Reimbursement Methodology for Medi-Cal Fee-For-Service All-Inclusive Delivery Service in Alternative Birth Centers

-Public Notice

 

17-028 Proposed One-Year Supplemental Payment for Intermediate Care Facilities for the Developmentally Disabled Including Habilitative and Nursing Facilities Using Proposition 56 Tobacco Tax Funds Allocated for the 2017-18 State Fiscal Year

-Public Notice

 

17-029 Proposed One-Year Supplemental Reimbursement For Family Planning, Access, Care and Treatment (Family Pact) Program Providers Using Proposition 56 Tobacco Tax Funds Allocated for the 2017-18 State Fiscal Year

-Public Notice

 

17-030 Proposed One-Year Supplemental Payment for Certain Physician Services Using Proposition 56 Tobacco Tax Funds Allocated for the 2017-18 State Fiscal Year

-Public Notice

 

17-031 Proposed One-Year Supplemental Payment for Certain Dental Services Using Proposition 56 Tobacco Tax Funds Allocated for the 2017-2018 State Fiscal Year

-Public Notice

 

17-023 Proposed increase to the cap for supplemental payments made to the Martin Luther King, Jr. – Los Angeles Healthcare Corporation

-Public Notice

-Revised Public Notice (June 19, 2017)

 

17-015 Proposed state plan amendment for updating the Medi-Cal reimbursement methodology for SFY 17-18 All Patient

Refined-Diagnosis Related Group (APR-DRG) hospitals for general acute care inpatient services

17-014 Proposed to Seek Continuation of Federal Authority for the Medi-Cal Fee-For-Service (FFS) Reimbursement Methodology for Radiology Services.

          -draft for Public Comment

 

17-009 Proposed to provide for direct and indirect graduate medical education payments to designated public hospitals participating in the Medi-Cal Managed Care Program and their affiliated public medical/nursing/paramedical schools

          -Public Notice
          -draft for Public Comment 
 

17-006 Proposed One-Time, Supplemental Payment for Specified Service Categories to Implement AB 97 Recoupment Forgiveness

          -Public Notice 

17-004 & 17-005 Proposed to continue the Hospital Quality Assurance Fee program to provide supplemental payments to eligible California private hospitals up to the federal upper payment limit
          -Public Notice
          -draft for Public Comment 
 
17-003 Proposed state plan amendment for updating the Medi-Cal reimbursement methodology for DRG hospitals on acute inpatient intensive rehabilitation services
          -Public Notice
          -draft for Public Comment 
 

17-002 Proposed state plan amendment to update the Medi-Cal Fee-For-Service (FFS) reimbursement methodology for Covered Outpatient Drugs (CODs)

- Public Notice

draft for Public Comment

 
17-001 Proposed state plan amendment clarifying reimbursement policies for federally qualified health centers (FQHC) and rural health clinics (RHC) and adding marriage and family therapists as a new FQHC/RHC billable provider
          -Public Notice

 

16-022 Private Hospital Supplemental Fund proposed reduction in payment

-draft for Public Comment 

16-029 Transition of Kern Medical Center from a Short-Doyle/Medi-Cal Hospital to a Negotiated Fee for Service Hospital for Psychiatric Inpatient Services

-draft for Public Comment

16-032 Cost-based Reimbursement for Alameda Hospital and San Leandro Hospital

-draft for Public Comment

-draft for Public Comment (ADA compliant version)

16-XXX Provide Supplemental Payments to hospitals up to the federal Upper Payment Limit 

-Public Notice

16-046 Proposed Rate Changes to Medi-Cal Reimbursement for Radiology Services

Last modified on: 8/14/2017 1:43 PM