Avisos Públicos para las Enmiendas Propuestas al Plan Estatal 2023
Volver a las enmiendas propuestas al plan estatal por año
These proposed State Plan Amendments (SPAs) would change statewide methods and standards for Medicaid payment rates. All of these SPAs require a Public Notice prior to submission to CMS. All 2023 Public Notice announcements will be published on this webpage when they are available. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages. For any questions or concerns, please contact PublicInput@dhcs.ca.gov.
- 23-0001 Propone actualizar el código dental de la Terminología Dental Actual (CDT) establecido a CDT 2023. (Publicado el 2de diciembre de 2022)
- 23-0003 Propone ajustar las tasas de reembolso de Medi-Cal Fee-for-Service (FFS) para equipo médico duradero. (Publicado el 28de diciembre de 2022)
- 23-0004 Propone ajustar las tarifas de reembolso de Medi-Cal FFS para servicios de radiología. (Publicado el 28de diciembre de 2022)
- 23-0006 and SPA Pages for Public Comment Proposes to renew and modify the existing facility-specific reimbursement methodology for Freestanding Skilled Nursing Facility Level-B (FS/NF-B) and Freestanding Subacute (FSSA) facilities. (Original notice released on December 28, 2022, while addendum was released on January 30, 2023)
- 23-0007 Addendum Proposes supplemental payments for certain inpatient services to eligible hospitals in the Hospital Quality Assurance Fee (HQAF) Program up to the federal upper payment limit. This public notice addendum announces the changes in SPA number from the original SPA 22-0056 public notice and the estimated fiscal impact. (Released March 17, 2023)
- 23-0007 Addendum Proposes a fiscal impact update. (Released November 21, 2023)
- 23-0008 Addendum Proposes supplemental payments for certain outpatient services to eligible hospitals in the Hospital Quality Assurance Fee (HQAF) Program up to the federal upper payment limit. This public notice addendum announces the changes in SPA number from the original SPA 22-0057 public notice and the estimated fiscal impact. (Released March 17, 2023)
- 23-0008 Addendum Proposes a fiscal impact update. (Released November 22, 2023)
- 23-0010 Proposes to establish a reimbursement methodology for dyadic services. (Released March 14, 2023)
- 23-0013 and SPA Pages for Public Comment Proposes to extend the Supplemental Reimbursement for Qualified Private Hospitals Program to June 30, 2024. (Original notice released on June 28, 2023, while addendum was released on August 15, 2023)
- 23-0013 Addendum Proposes a fiscal impact update. (Released September 14, 2023)
- 23-0014 Proposes to update the Medi-Cal reimbursement methodology for state fiscal year 2023-24 Diagnosis Related Group Payments. (Released June 29, 2023)
- 23-0015 Proposes to modify the reimbursement methodology with County Behavioral Health Plans for Medi-Cal behavioral health services. (Released March 8, 2023)
- 23-0016 Proposes to extend the supplemental reimbursement for the Qualified Non-Designated Public Hospitals program to June 30, 2024. (Released May 9, 2023)
- 23-0017 Proposes to decrease the payment cap for supplemental payments for Martin Luther King, Jr. – Los Angeles Health Care Corporation. (Released May 4, 2023)
- 23-0019 Proposes to adjust certain Medi-Cal Fee-For-Service FFS reimbursement rates for clinical laboratory or laboratory services. (Released June 30, 2023)
- 23-0020 Proposes to renew the Ground Emergency Medical Transportation Quality Assurance Fee program and the reimbursement add-on provided for Medi-Cal ground emergency medical transports. (Released May 31, 2023)
- 23-0022 Propone actualizaciones a los requisitos de inscripción de proveedores para Higienistas Dentales Registrados en Práctica Alternativa (RDHAP). (Publicado el 8de septiembre de 2023)
- 23-0023 Propone renovar el Programa de Pago Suplementario para Servicios de Transporte Aéreo Médico de Emergencia. (Publicado el 29de junio de 2023)
- 23-0024 Proposes to add Coordinated Family Supports in Home and Community Based Services for Developmentally Disabled. (Released June 30, 2023)
- 23-0026 Aviso Público y Páginas de SPA Propone cambios en los tipos y calificaciones de los proveedores de Servicios de Salud Mental de Rehabilitación, Administración de Casos Específicos, Servicios de Tratamiento de Trastornos por Uso de Sustancias, Servicios Ampliados de Tratamiento de Trastornos por Uso de Sustancias, Tratamiento Asistido por Medicamentos y Servicios Móviles de Intervención en Crisis Basados en la Comunidad. (Publicado el 22de agosto de 2023)
- 23-0027 Propone adoptar a los profesionales acreditados de los Servicios de Personal Estudiantil como un tipo de proveedor distinto en el Programa Medi-Cal . (Publicado el 22de noviembre de 2023)
- 23-0028 Proposes to gradually unwind the COVID-19 increase for Freestanding Pediatric Subacute Facilities. (Released June 30, 2023)
- 23-0028 Addendum Proposes to adjust the rate year period. (Released July 31, 2023)
- 23-0029 Proposes to clarify and update denture policy categorical information and clarify exemptions in the prosthodontics (removable) general policies. (Released September 13, 2023)
- 23-0031 Proposes to extend time-limited supplemental payment program for qualifying non-hospital 340B community clinics. (Released June 28, 2023)
- 23-0032 Proposes to shift reimbursement for specified long-term care facilities to a calendar rate year. (July 31, 2023)
- 23-0035 Proposes reimbursement rate increases for primary care, obstetric, and non-specialty mental health services, effective for dates of service on or afterJanuary 1, 2024. (Released August 28, 2023)
- 23-0036 Proposes to add the following to the 1915(i) State Plan: modifying the definition of target population to include children under 5 years old without a diagnosis of developmental disability, increase rates for independent living programs, adult residential homes and participant directed Day Service and Supported Employment, add participant-directed goods and services as a new service, add budget authority for participant direction of services, and add additional incentive payments for assisting individuals to obtain competitive integrated employment. (Released September 1, 2023)
- 23-0037 Propone autorizar a los Consejeros Clínicos Profesionales con Licencia como profesionales de la salud facturables elegibles para proporcionar servicios de salud conductual reembolsables de Medi-Cal a pacientes en Centros de Salud Federalmente Calificados (FQHC), Clínicas de Salud Rurales (RHC) o FQHC Tribales. (Publicado el 4de diciembre de 2023)
- 23-0038 Propone enmendar los pagos suplementarios a los hospitales elegibles que cumplan con los requisitos especificados y brinden servicios hospitalarios para pacientes hospitalizados a los beneficiarios de Medi-Cal durante el período del 1de enero de 2024al 31de diciembre de 2024. (Publicado el 27de diciembre de 2023)
- 23-0039 Propone enmendar los pagos suplementarios a los hospitales elegibles que cumplan con los requisitos especificados y brinden servicios ambulatorios hospitalarios a los beneficiarios de Medi-Cal durante el período del 1de enero de 2024al 31de diciembre de 2024. (Publicado el 27de diciembre de 2023)
- 23-0040 Propone ajustar las tasas de reembolso para el Program de Exámenes Prenatales y el Programde Exámenes de Detección Neonatal. (Publicado el 30de octubre de 2023)
- 23-0043 Propone incluir el precio de la factura como un tipo de pago de beneficios de farmacia. (Publicado el 27de octubre de 2023)
- 23-0044 Propone ampliar la autoridad de prescripción para las fórmulas enterales. (Publicado el 3de noviembre de 2023)
- 23-0045 Propone modificar la metodología de tarifas hospitalarias de FFS y Short-Doyle Medi-Cal. (Publicado el 11de diciembre de 2023)