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Back to Proposed State Plan Amendments by Year

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

18-0050 Proposes modifications to capital cost reimbursement methodology for certain Freestanding Skilled Nursing Facilities.

 

​18-0044 Proposes to make additional supplemental payments to eligible hospitals in the Hospital Quality Assurance Fee Program up to the Federal Upper Payment Limit - Outpatient.

 

18-0043 Proposes to make additional supplemental payments to eligible hospitals in the Hospital Quality Assurance Fee Program up to the Federal Upper Payment Limit - Inpatient.

 

18-0042 Proposes to provide a time-limited supplemental payment program for Freestanding Pediatric Sub Acute (FS/PSA) facilities in Rate Year 2018-19.​ 

 

18-0039 Proposes to authorize reimbursement and establish rates for specified pharmacists services.

 

18-0037 Proposes sunset of payment reduction for home health agency services and increase to reimbursement rates for home health agency and certain pediatric day health care services. (Proposition 56)

 

18-0036 Proposes to make technical corrections to remove references of the obsolete Medi-Cal Administrative Claiming System (MAC) Agreement.  

 

18-0034 Proposes to continue the supplemental payment program for the 2018-19 rate-year (August 1, 2018, through July 31, 2019) and to update the amount available for the supplemental payments.

 

18-0033 Proposes to extend the supplemental payment program for certain physician services for another 12 months, effective beginning July 1, 2018 through June 30, 2019. (Proposition 56)

 

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

 

18-0031 Proposes to allow time-limited supplemental reimbursements under the Family PACT Program for the Evaluation and Management (E&M) portion of office visits rendered for the purpose of comprehensive family planning services. (Proposition 56)

 

18-0030 Proposes to Continue the Augmentation Payments for Fee for Service Medi-Cal Emergency Medical Air Transportation Services for State Fiscal Year (SFY) 2018-19.

 

18-0029 Proposes to extend the time-limited supplemental payment program for Intermediate Care Facilities for the Developmentally Disabled (ICF/DD), ICF/DD-Habilitative (ICF/DD-H), and ICF/DD-Nursing (ICF/DD-N) for an additional year. (Proposition 56)

 

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. 

 

18-0024 Proposes to authorize an extension of the time-limited supplemental payment program for certain dental services for an additional year. (Proposition 56)

 

18-0023 Proposes to amend the HCBS 1915(i) State Plan for the Developmentally Disabled.

 

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

 

18-0020 Proposes to seek the necessary approvals to add the population criterion of serious mental illness (SMI) or serious emotional disturbance (SED) in the County of San Francisco to the Health Homes Program (HHP).

 

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.

 

18-017 Proposes to extend for another 12 months the supplemental reimbursement to qualified Non-Designated Public Hospitals (NDPHs).

 

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

 

18-012 Proposes​ 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.

 

18-007 Proposes updates to the Supplemental Payments for Ground Emergency Medical Transportation (GEMT) Services Program.

 

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: 9/14/2018 8:17 AM