2023 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.
- 23-0001 Updates the Current Dental Terminology (CDT) code set to CDT-23.
- 23-0002 Tso cai rau kev nthuav dav kev pab them nqi kho mob uas xav tias yuav tsim nyog rau tsev kho mob mus rau ib pawg neeg tshiab uas muaj cov neeg 'Muaj hnub nyoog 65 xyoo lossis laus dua' thiab cov nyiaj tau los ntawm lossis qis dua 138 feem pua ntawm qib kev txom nyem hauv tsoomfwv.
- 23-0003 Updates the reimbursement methodology for Durable Medical Equipment.
- 23-0005 Updates existing language to reflect the CDSS updated IHSS policy to allow telehealth reassessments and to update existing language to reflect CDSS IHSS QA updated practices.
- 23-0006 Txuas ntxiv thiab hloov kho txoj kev them nyiaj rau cov chaw uas twb muaj lawm rau Freestanding Skilled Nursing Facility Level-B (FS/NF-B) thiab Freestanding Subacute (FSSA).
- 23-0007 Provides supplemental payments for private hospital inpatient services for the service period of January 1, 2023 to December 31, 2024.
- 23-0008 Muab kev them nyiaj ntxiv rau cov kev pab cuam hauv tsev kho mob ntiag tug rau lub sijhawm ua haujlwm ntawm Lub Ib Hlis 1, 2023 txog Lub Kaum Ob Hlis 31, 2024.
- 23-0009 Extends Medi-Cal eligibility to foster youth from any state who turned 18 years of age on or after January 1, 2023 so long as they otherwise meet the eligibility requirements of being under age 26, enrolled in Medicaid and exiting foster care at age 18 or older.
- 23-0010 Authorizes an Alternative Payment Methodology for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) and a supplemental payment for Tribal health providers for the provision of eligible dyadic services.
- 23-0012 Disregards, under the authority of section 1902(r)(2) of the Social Security Act, all countable resources for all eligibility groups covered under the state plan to which a resource standard applies.
- 23-0013 Extends and modifies the Private Hospital Supplemental Fund program for the state fiscal year ending in 2024.
- 23-0014 Updates the Medi-Cal reimbursement methodology for State Fiscal Year 2023-24 Diagnosis Related Group Payments.
- 23-0015 Modifies the reimbursement methodology for Medi-Cal behavioral health services.
- 23-0016 Extends the Non-Designated Public Hospital Supplemental Fund program for the state fiscal year ending 2024.
- 23-0017 Reduces the payment cap for supplemental reimbursement to Martin Luther King Jr. – Los Angeles Healthcare Corporation (MLK-LA).
- 23-0019 Hloov kho cov txheej txheem them rov qab rau cov chaw kuaj mob lossis chaw kuaj mob.
- 23-0020 Tso cai rau
cov nyiaj them ntxiv rau cov nqi teem sijhawm rau kev thauj neeg
thaum muaj xwm txheej ceev hauv av uas tsim nyog tau muab txij lub Xya Hli 1, 2023 txog rau Lub Rau Hli 30, 2024. - 23-0022 Aligns cov kev pabcuam muab los ntawm Cov Kws Kho Hniav Kev Kho Hniav (RDHs), Cov Kws Kho Hniav Hniav rau Kev Kho Hniav hauv Kev Ua Haujlwm Ntxiv (RDHEFs), thiab Cov Kws Kho Hniav Rau Kev Kho Hniav hauv Lwm Txoj Haujlwm (RDHAPs) nrog rau lub xeev txoj cai ntawm kev coj ua.
- 23-0024 Ntxiv Cov Kev Pabcuam Tsev Neeg Pabcuam raws li kev pabcuam tshiab hauv 1915(i) Lub Xeev Plan.
- 23-0025 Qhia meej txog cov txheej txheem them nyiaj rov qab rau kev sib koom tes saib xyuas, cov kev pabcuam kev txhawb nqa rov qab, cov kev pabcuam tshwjxeeb rau cov phooj ywg, thiab Kev Kho Tshuaj Kho Mob thaum muab rau hauv qhov chaw kho mob hauv tsev.
- 23-0026 Hloov Kho Cov Kev Pabcuam Kev Puas Siab Puas Ntsws, Kev Tswj Xyuas Cov Cai, Cov Kev Pabcuam Kev Siv Tshuaj Khomob, Kev Pabcuam Kev Siv Tshuaj Khomob, Kev Pabcuam Khomob Khomob, thiab Kev Pabcuam Hauv Zej Zog Hauv Mobile Crisis Intervention Services hom thiab kev tsim nyog.
- 23-0027 Txais Cov Tub Kawm Ntawv Cov Kev Pabcuam Cov Neeg Ua Haujlwm tau lees paub cov kws kho mob raws li hom kws kho mob tshwj xeeb hauv Medi-Cal qhov kev pab cuam.
- 23-0028 Hloov kho tus nqi teeb tsa txoj hauv kev rau kev pub dawb rau menyuam yaus subacute (FS/PSA) cov chaw pib txij lub Xya Hli 1, 2023, thiab hloov pauv FS/PSA tus nqi xyoo rau ib xyoo raws li xyoo pib txij lub Ib Hlis 1, 2024.
- 23-0029 Qhia kom meej thiab hloov kho cov ntaub ntawv kho hniav txoj cai categorical cov ntaub ntawv thiab qhia meej txog kev zam hauv txoj cai prosthodontics (tshem tawm) cov cai dav dav rau Medi-Cal.
- 23-0030 Txo Scope rau Asset Verification System yuav tsum tau rau cov kev pab cuam uas tsis yog MAGI.
- 23-0032 Hloov cov nyiaj them rov qab rau cov chaw zov me nyuam mus sij hawm ntev mus rau ib xyoo daim ntawv qhia hnub.
- 23-0033 Tso cai rau kev tso npe nkag rau California Txoj Haujlwm Ua Haujlwm thiab Lub Luag Haujlwm rau Cov Menyuam Yaus (CalWORKs) cov neeg tau txais txiaj ntsig rau hauv qhov kev pab cuam Medicaid yam tsis muaj kev txiav txim siab tsim nyog tau txais nyiaj txiag los ntawm Lub Xya Hli 1, 2023.
- 23-0034 Qhia meej txog tsab cai lij choj uas twb muaj lawm rau cov kev pab tiv thaiv txog qhov yuav tsum tau muaj kev pab them nqi kho mob rau cov neeg laus cov tshuaj tiv thaiv kom ua raws li CMS cov lus qhia.
- 23-0035 Authorizes reimbursement rate increases for primary care, obstetric, and non-specialty mental health services, which are effective for dates of service on or after January 1, 2024.
- 23-0036 Increases rates for independent living programs, adult residential homes and participant-directed day service and supported employment.
- 23-0037 Ntxiv Cov Kws Pab Tswv Yim Kho Mob Uas Muaj Daim Ntawv Tso Cai (LPCCs) rau hauv daim ntawv teev cov kws kho mob
uas them tau uas muab cov kev pabcuam ntawm FQHCs, RHCs, thiab Tribal FQHCs. SPA no kuj ua qhov kev hloov pauv los teev cov npe "Kws Kho Mob Hlwb
" hloov chaw "Kws Kho Mob Hlwb
uas muaj ntawv tso cai" thiab "Kws Kho Mob Hlwb uas muaj ntawv tso cai." - 23-0043 Reimburse providers an ingredient cost, based on a submitted invoice price, for a covered outpatient drug when other pricing benchmarks are unavailable.
- 23-0044 Expands the prescribing authority for enteral formulae from physicians to include physicians, nurse practitioners, clinical nurse specialists, or physician assistants.
- 23-0045 Updates the methodology in which reimbursement for acute psychiatric inpatient hospital services for each Fee-For-Service and Short-Doyle Medi-Cal hospital is determined between the negotiating entity and the servicing hospital.
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.