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​​​​​​​​​​​​​​​​​Public Notices for 2023 Proposed State Plan Amendments

Back to Proposed State Plan Amendments by Year

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​ Proposes to update the Current Dental Terminology (CDT) dental code set to CDT 2023. (Released December 2, 2022)
  • 23-0003 Proposes to adjust the Medi-Cal Fee-for-Service (FFS) reimbursement rates for durable medical equipment. (Released December 28, 2022)
  • 23-0004 Proposes to adjust the Medi-Cal FFS reimbursement rates for radiology services. (Released December 28, 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)
  • 23-0008 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)
  • 2​3-0010 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​)
  • 23-0014 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 se​rvices. (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 Proposes updates to ​provider enrollment requirements for Registered Dental Hygienists in Alternative Practice (RDHAP). (Released September 8, 2023)
  • 23-0023​ Proposes to renew​ the supplemental payment program for Emergency Medical Air Transportation Services.​ (Released June 29, 2023)​
  • 23-0024​ Proposes to add Coordinated Family Supports in Home and Community Based Services ​​for Developmentally Disabled. (Released June 30, 2023)​
  • 23-0026 Public Notice and SPA Pages​ Proposes changes to the Rehabilitative Mental Health Services, Targeted Case Management, Substance Use Disorder Treatment Services, Expanded Substance Use Disorder Treatment Services, Medication-Assisted Treatment and Community-Based Mobile Crisis Intervention Services provider types and qualifications. (Released August 22, 2023)​ 
  • 23-0027 Proposes to adopt Pupil Personnel Services credentialed practitioners​ as a distinct provider type in the Medi-Cal program. (Released November 22, 2023)
  • 23-0028​ Proposes to gradually unwind the COVID-19 increase for Freestanding Pediatric Subacute Facilities. (Released June 30, 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 after
    January 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​ Proposes to authorize Licensed Professional Clinical Counselors​ as billable health care professionals eligible to provide reimbursable Medi-Cal behavioral health services to patients at Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs)​, or Tribal FQHCs. (Released December 4, 2023)
  • 23-0038 Proposes to amend supplemental payments to eligible hospitals that meet specified requirements and provide hospital inpatient services to Medi-Cal beneficiaries for the period of January 1, 2024, through December 31, 2024.​ (Released December 27, 2023)
  • 23-0039​ Proposes to amend supplemental payments to eligible hospitals that meet specified requirements and provide hospital outpatient services to Medi-Cal beneficiaries for the period of January 1, 2024, through December 31, 2024. (Released December 27, 2023)
  • 23-0040​ Proposes to adjust reimbursement rates for the Prenatal Screening Program and Newborn Screening Program. (Released October 30, 2023)
  • 23-0043​ Proposes to​ include invoice price as a pharmacy benefit payment type. (Released October 27, 2023)
  • 23-0044 Proposes to expand the prescribing authority for enteral formulae. ​(Released November 3, 2023)
  • 23-0045​ Proposes to modify FFS and Short-Doyle Medi-Cal hospital rate methodology.​ (Released December 11, 2023)
Last modified date: 3/29/2024 9:27 AM