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Tsev Cov Ntawv, Cov Cai, thiab Cov Ntawv Tshaj Tawm  Cov Cai thiab Cov Kev Cai Xyoo 2021 Cov Kev Hloov Kho Txoj Kev Npaj Hauv Xeev Uas Tau Pom Zoo​​ 

2021 Pom zoo Cov Kev Npaj Kho Lub Xeev​​ 

Rov qab mus rau nplooj ntawv pom zoo SPAs​​ 

Cov ntawv txuas hauv qab no yog kev hloov kho rau California State Plan uas nyuam qhuav pom zoo los ntawm Lub Chaw rau Medicare thiab Medicaid Services (CMS). Cov neeg koom nrog tuaj yeem hloov kho lawv cov ntawv luam los ntawm kev ua raws cov kev sib txuas thiab cov lus qhia txuas nrog rau cov ntaub ntawv.​​ 

  • 21-0001​​  Updates the Current Dental Terminology (CDT) dental code set to CDT 2020.​​ 
  • 21-0002​​  Renews Californ​​ ia’s 1915(i) State Plan Home and Community-Based Services benefit.​​ 
  • 21-0004 Extends lub sij hawm txwv cov kev pab cuam ntxiv rau tej yam kev pab kws kho mob yav dhau los yav tas los pom zoo hnub hnub poob ntawm lub Kaum Ob Hlis 31, 2021.​​  
  • 21-0005 Txuas ntxiv cov nyiaj them ntxiv rau Freestanding Pediatric Subacute Facilities, pib lub Ib Hlis Ntuj 1, 2022.​​   
  • 21-0006​​  Txuas ntxiv th​​ ib supplementa​​ l them nyiaj rau cov chaw saib xyuas nruab nrab rau cov tib neeg uas muaj kev tsis taus kev txawj ntse (ICF/IDs).​​  
  • 21-0009​​  Updates the rates for Radiological services to pay no more than 80% of the corresponding Medicare Physician Fee Schedule rate.​​ 
  • 21-0012​​  Increases the supplemental payment amount for Martin Luther King, Jr. – Los Angeles Healthcare Corporation.​​ 
  • 21-0013​​  Txuas ntxiv qhov Non-Designated Public Hospital Supplemental Fund program rau lub xeev cov nyiaj xyoo 2021-22.​​ 
  • 21-0014​​  Txuas ntxiv Kev Pabcuam Kev Pabcuam Tsev Khomob Private rau lub xeev cov nyiaj tau los xaus rau xyoo 2022​​ .​​ 
  • 21-0015 Tsim Kev Them Nyiaj Ntxiv rau Cov Tsev Kho Mob Tsis Muaj Tsev Kho Mob 340B, pib lub Ib Hlis 1, 2022.​​  
  • 21-0016​​  Ua kom cov khoom siv kho mob ntev dua cov pa oxygen thiab cov pa ua pa rov qab thaum lub sijhawm COVID-19 kev noj qab haus huv rau pej xeem.​​ 
  • 21-0017​​  Txuas ntxiv cov nqi teem caij rau cov kev tsim nyog tau txais kev thauj mus los hauv Kev Kho Mob Kub Ceev (GEMT) muab rau cov neeg mob Medi-Cal.​​ 
  • 21-0018​​  Terminates Health Homes Program rau cov tib neeg uas muaj mob rau lub cev tsis zoo/Kev Siv Tshuaj​​ 
  • 21-0019​​  Tso cai them nyiaj ntxiv rau kev xaiv cov kev pabcuam kho hniav thiab cov kev pabcuam kuaj hniav, thiab ntxiv Caries Risk Assessment thiab Silver Diamine Fluoride cov kev pabcuam rau lub sijhawm them nqi kho hniav.​​  
  • 21-0020 COVID-19 txhaj tshuaj tiv thaiv thiab them nyiaj rov qab rau hauv Tsoom Fwv Saib Xyuas Kev Noj Qab Haus Huv (FQHCs), Lub Chaw Saib Xyuas Kev Noj Qab Haus Huv Hauv Nroog (RHCs), thiab Pawg Neeg Saib Xyuas Kev Noj Qab Haus Huv (Tribal FQHCs).​​ 
  • 21-0021​​  California’s All Patient Refined Diagnosis Related Group (APR-DRG) payment parameters for state fiscal year 2021-2022.​​ 
  • 21-0022 Addition of Kern and Sacramento Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the “Children Under the Age of 21” TCM group.​​ 
  • 21-0025​​  Addition of Merced County to the list of geographic areas offering TCM services for the “Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes” TCM group.​​ 
  • 21-0026​​  Addition of Alameda County to the list of geographic areas offering TCM services for the “Individuals with a Communicable Disease” TCM group.​​    
  • 21-0027​​  Tsis lees paub cov nyiaj tau los uas tau txais los ntawm Golden State Stimulus lossis Golden State Grant thiab tsis saib xyuas raws li cov peev txheej rau 12 lub hlis tom qab tau txais.​​ 
  • 21-0028​​  Ntxiv Kev Tswj Tshuaj Kho Mob (MTM) rau Cov Kev Pabcuam Kws Khomob uas muaj ntawv tso cai raws li Lwm Cov Kev Pabcuam Tau Txais Kev Pabcuam; tshem tawm qhov kev thov kev tso cai kho mob los ntawm Daim Ntawv Tso Cai​​  Kws tshuaj​​  Kev pabcuam; thiab hloov kho tus nqi txheej txheem rau Cov Kev Pabcuam Cov Kws Tshuaj Tso Cai los ntawm kev ntxiv cov nqi rau MTM.​​ 
  • 21-0029​​  Hloov kho CDT cov lej kho hniav tau teeb tsa hauv kev ua raws li kev lag luam kho hniav tam sim no thiab tsoomfwv cov cai cov qauv thiab hloov kho CDT cov lej dhau los uas tsim nyog rau Txoj Cai 56 cov nyiaj them ntxiv nrog CDT cov lej tshiab.​​  
  • 21-0030​​  Txuas ntxiv Proposition 56 them nyiaj rau qee yam kev pabcuam kho hniav.​​ 
  • 21-0031 Rate increases for providers reimbursed under the Alternative Residential Model (ARM) rate methodology.​​ 
  • 21-0036 Provides supplemental payments for hospital inpatient services.​​  
  • 21-0037 Provides supplemental payments for hospital outpatient services.​​  
  • 21-0040 Increases the rates for specified 1915i service providers subject to median rates, negotiation with regional centers, and the ARM rate methodology, as well as rates set in state statute or regulation. ​​ 
  • 21-0042​​  Txuas ntxiv COVID-19 Cov Kev Pabcuam Thaum Muaj Xwm Ceev Cia rau Cov Kev Pabcuam Hauv Tsev.​​ 
  • 21-0043​​  Tshem Tawm Txoj Kev Pabcuam Tsev Khomob rau cov tib neeg uas tsim nyog raws li Kev Mob Puas Hlwb lossis Kev Nyuaj Siab Loj.​​ 
  • 21-0045 Eliminates the sunset date for approved supplemental payments and Alternative Payment Methodologies for trauma screenings and developmental screenings. ​​ 
  • 21-0046​​  Txuas ntxiv kev them nyiaj ntxiv rau cov kev pabcuam huab cua thaum muaj xwm txheej ceev rau lub xeev xyoo nyiaj txiag 2021-22.​​  
  • 21-0048​​  Tsim cov nqi them rov qab rau cov kev pabcuam los ntawm cov chaw muab kev pabcuam ntawm 1905(a)(5)(A), 1905(a)(6), 1905(a)(17), thiab 1905(a)(21) cov kev pabcuam thaum xa los ntawm kev saib xyuas tus neeg mob nyob deb.​​  
  • 21-0049​​  Ntxiv Cov Pab Pawg Ua Haujlwm Hauv Lub Xeev Ua Haujlwm raws li cov chaw muab kev pabcuam tshiab thiab cov txheej txheem tshiab rau Lub Xeev Ua Haujlwm Txhim Kho Tus Cwj Pwm Txhawb Cov Tsev, Lub Tsev Ua Haujlwm Hauv Zej Zog Kev Nyuaj Siab, thiab Lub Xeev Ua Haujlwm Pabcuam Teebmeem.​​ 
  • 21-0050​​  Muab sijhawm txwv tus nqi nce rau cov chaw muab kev pabcuam txhim kho, ntxiv Intensive Transition Services raws li qhov kev pabcuam tshiab, thiab ntxiv Speech Language Pathologist Assistant ua hom tshiab.​​ 
  • 21-0051​​  Ntxiv cov kev pab txhawb nqa rau cov phooj ywg raws li Medi-Cal kev kho mob puas siab puas ntsws thiab suav nrog cov kws kho mob tshwj xeeb uas yog hom kws kho mob sib txawv.​​ 
  • 21-0052 Medi-Cal Clinical Laboratory Rate Hloov Kho, pib lub Xya hli ntuj 1, 2021.​​ 
  • 21-0053​​  Ua kom cov txheej txheem muaj txiaj ntsig zoo rau txhua qhov Tsis Hloov Kho Cov Nyiaj Tau Los (MAGI) raws li cov kev pabcuam.​​ 
  • 21-0055​​  Muab ib​​  Kev txhawb nqa ib zaug ntawm COVID-19 rau cov neeg muab kev pab txhawb nqa hauv tsev.​​ 
  • 21-0056​​  Hloov kho cov kev tuav pov hwm kev thauj mus los kom ua raws li cov kev cai ntawm ntu 209 ntawm Txoj Cai Sib Koom Tes Sib Koom Tes.​​ 
  • 21-0057​​  Hloov kho qhov kev tsim nyog tau txais kev pab cuam rau Health Insurance Premium Payment (HIPP) los ntawm kev tshem tawm qhov yuav tsum tau ua yog tias tus neeg tau txais txiaj ntsig HIPP muaj kev xaiv rau npe rau hauv Medi-Cal txoj kev npaj kho mob, ces lawv tsis tsim nyog rau HIPP.​​ 
  • 21-0058​​  Ntxiv Drug Medi-Cal Organized Delivery Services nthuav dav cov kev pab cuam kho mob tsis zoo rau hauv Medicaid State Plan.​​ 
  • 21-0059 Hloov kho tus nqi teeb tsa txoj hauv kev rau cov chaw pub dawb rau menyuam yaus subacute.​​  
  • 21-0060​​  Hloov kho cov txheej txheem them nyiaj rov qab rau Cov Chaw Pabcuam Nruab Nrab rau Kev Txhim Kho Cov Neeg Tsis Taus (ICF/DD), ICF/DD-Habilitative (ICF/DD-H), thiab ICF/DD-Nursing (ICF/DD-N).​​  
  • 21-0063 Ntxiv Kev Tswj Tshuaj Kho Mob (MTM) nyob rau hauv Kev Pabcuam Kws Tshuaj hauv Lwm Txoj Kev Pabcuam.​​ 
  • 21-0066​​  Muab kev pab them nqi kho mob Medicaid tag nrho rau txhua tus neeg tau txais txiaj ntsig hauv pawg poj niam cev xeeb tub uas tsim nyog tau txais cov nyiaj tau los thiab suav nrog 208% ntawm Tsoom Fwv Qib Kev Txom Nyem.​​  
  • 21-0067​​  Ntxiv ib tug tshiab Kev Tshawb Fawb Kev Tshawb Fawb, pib lub Ob Hlis 1, 2022.​​  
  • 21-0068 Updates the Preadmission Screening and Resident Review (PASRR) program policies to better align with current language, definitions, and procedures and requires the compulsory use of the PASRR online system.​​  
  • 21-0069 Exempts from estate recovery any payment made to qualified recipients of the Forced or Involuntary Victim Compensation Program, following the death of a qualified Medicaid member.​​ 

Tiv tauj peb​​ 

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