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Proposed State Plan Amendments

These Proposed SPAs would change statewide methods and standards for Medicaid payment rates. All of these SPAs require a Public Notice prior to submission to CMS. This page provides all SPA Public Notices for 2018. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages linked below. 

Public Notices for 2018 Proposed State Plan Amendments

18-0032 Medi-Cal Reimbursement for Primary Care Services Provided by Medical Residents in a FQHC or RHC Sponsored Graduate Medical Education Program

 

18-0027 Defines Cardiovascular and Pulmonary Rehabilitation services under the  Medi-Cal Program

 

18-0025 Proposes to formalize Periodontal Maintenance Rate Adjustments and Prior Authorization for Dental Benefits 

 

18-0021 Supplemental Reimbursement to Martin Luther King, Jr.- Los Angeles Healthcare Corporation

 

18-0018 Proposes to amend the phased implementation schedule of multiple counties and clarifies that affected Medi-Cal managed care plans (MCPs) will receive Health Home Programs (HHP) supplemental payments upon receipt of HHP covered services by eligible enrollees and based on information reported by the MCPs to DHCS.

 

18-013 Proposes update to Medi-Cal Reimbursement Methodology parameters for Year 6 (SFY 2018-19) Diagnosis Related Group Payments.

 

18-012 Which seeks to make a technical correction to the approved state plan amendment (17-004) which allows supplemental payments to be made to the specified California private hospitals up to the specified up to the aggregate upper payment limit for the period of January 1, 2017, through June 30, 2019.

 

18-010 Proposes to extend the Supplemental Reimbursement for Qualified Private Hospitals Program to June 30, 2019. 

 

18-006 Addresses sick leave for In-Home Support Services (IHSS) care providers as a result of Senate Bill 3 (SB 3)

 

18-005 Authorizes a change in the rate development methodology for the Program of All-Inclusive Care for the Elderly (PACE) capitation payments.

 

18-004 Proposed state plan amendment to authorize a time-limited Quality Assurance Fee program and reimbursement add-on for Ground Emergency Medical Transports provided by emergency medical transport providers.

 

18-003 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.

 

18-002 Removes prior authorization for allergy injections and adds Marriage and Family Therapists (MFTs) as a billable provider for Federally Qualified Health Centers and Rural Health Clinics.

Contact Us

You may email your questions and concerns regarding State Plan Amendments (SPAs) to Publicinput@dhcs.ca.gov.  In your email, please include the SPA number in question. 

 

NOTE: Links on this page are documents in Adobe Acrobat Document Format (PDF); unless indicated are smaller than 2MB. PDF documents require Adobe Reader. Install or upgrade to the latest version of Adobe Reader.
Last modified on: 6/15/2018 1:55 PM