​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 2017. Once these SPAs are submitted to or approved by CMS they are also posted in the pending or approved SPAs pages linked below. 
 
NOTE: Some links on this page are documents in Adobe Acrobat Portable Document Format (PDF). PDF documents require Adobe Reader. 
 
17-044 Allows the State to waive financial responsibility for beneficiaries enrolled in the Optional Targeted Low Income Children's Program (OTLICP) affected by recent wildfires in California.
17-041 Seeks to restore comprehensive adult dental services as a covered benefit for Medi-Cal beneficiaries ages 21 and older
17-039 Revises the Medi-Cal Fee-For-Service reimbursement methodology for all-inclusive birth services provided in Alternative Birth Centers
17-032 Inpatient Hospital- All Patient Refined - Diagnosis Related Groups updates for SFY 2017-18
17-031 Proposes a one-year supplemental payment for certain dental services using California Healthcare, Research and Prevention Tobacco Tax Act funds
17-030 Provide for a supplemental payment program for certain physician services rendered during the July 1, 2017 to June 30, 2018 period
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
 17-028 Provides for a time-limited supplemental payment program for Intermediate Care Facilities for the Developmentally Disabled
17-027 Seeks to restore comprehensive adult dental services as a covered benefit for Medi-Cal beneficiaries ages 21 and older
17-025 Proposed State Plan Amendment to Change Provider Type Name From Christian Science Practitioners to Religious Non-Medical Health Care Institutions (RNHCIs) & to Establish a Reimbursement Methodology for RNHCIs
17-024 Extends the Quality and Accountability Supplemental Payment program
17-021 (See below referenced 17-039)
 
 17-020  Aligns the reimbursement methodology for Skilled Nursing Facilities with the current statutory requirements as outlined in AB 119
17-019 Supplemental payments for Emergency Air Medical Transportation Services
17-017 Removes outdated transportation pages and clarifies services surrounding Nonemergency Medical Transportation (NEMT)
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 service.
17-014 Proposed to Seek Continuation of Federal Authority for the Medi-Cal Fee-For-Service (FFS) Reimbursement Methodology for Radiology Services.
17-009 Allows direct and indirect graduate medical education payments (GME) to be made to designated public hospitals​
17-006 Proposed One-Time, Supplemental Payment for Specified Service Categories to Implement AB 97 Recoupment Forgiveness
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
17-003 Acute Inpatient Intensive Rehabilitation Services background
17-002 Proposed state plan amendment to update the Medi-Cal Fee-For-Service (FFS) reimbursement methodology for Covered Outpatient Drugs (CODs)
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
Last modified date: 8/28/2019 11:20 AM