Cov Ntawv Ceeb Toom rau pej xeem rau xyoo 2023 Kev Npaj Kho Kom Zoo Rau Lub Xeev
Rov qab mus rau Lub Xeev Txoj Kev Npaj Hloov Kho los ntawm Xyoo
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 Npaj kom hloov kho Cov Kev Kho Hniav Tam Sim No (CDT) kho hniav code teem rau CDT 2023. (Tshaj tawm lub Kaum Ob Hlis 2, 2022)
- 23-0003 Qhia kom kho tus nqi Medi-Cal Fee-for-Service (FFS) cov nqi them rov qab rau cov khoom siv kho mob ntev. (Tshaj tawm lub Kaum Ob Hlis 28, 2022)
- 23-0004 Npaj kom kho Medi-Cal FFS cov nqi them rov qab rau cov kev pabcuam hluav taws xob. (Tshaj tawm lub Kaum Ob Hlis 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)
- 23-0007 Addendum Proposes a fiscal impact update. (Released November 21, 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)
- 23-0008 Addendum Proposes a fiscal impact update. (Released November 22, 2023)
- 23-0010 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)
- 23-0013 Addendum Proposes a fiscal impact update. (Released September 14, 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 services. (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 Tshaj tawm cov kev hloov tshiab rau cov neeg muab kev pabcuam rau npe rau npe rau Cov Kws Kho Hniav Hniav hauv Kev Hloov Kho (RDHAP). (Tshaj tawm lub Cuaj Hlis 8, 2023)
- 23-0023 Npaj kom rov ua dua qhov kev pab them nqi ntxiv rau Kev Pabcuam Kev Khomob Kub Ceev. (Tshaj tawm Lub Rau Hli 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 Daim Ntawv Ceeb Toom Pej Xeem thiab SPA Nplooj Ntawv Qhia txog kev hloov pauv rau Cov Kev Pabcuam Kev Puas Hlwb Kho Mob, Lub Hom Phiaj Kev Tswj Xyuas, Kev Pabcuam Kev Siv Tshuaj, Kev Pabcuam Kev Siv Tshuaj, Kev Pabcuam Kev Siv Tshuaj Khomob, Kev Pabcuam Khomob thiab Kev Pabcuam Hauv Zej Zog Kev Pabcuam Kev Pabcuam Hauv Zej Zog thiab Kev Pabcuam . (Tshaj tawm lub yim hli ntuj 22, 2023)
- 23-0027 Pom zoo kom txais Pupil Personnel Services credentialed practitioners as a different provider type in the Medi-Cal program. (Tshaj tawm lub Kaum Ib Hlis 22, 2023)
- 23-0028 Proposes to gradually unwind the COVID-19 increase for Freestanding Pediatric Subacute Facilities. (Released June 30, 2023)
- 23-0028 Addendum Proposes to adjust the rate year period. (Released July 31, 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 afterJanuary 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 Npaj kom tso cai rau Cov Kws Pab Tswv Yim Kho Mob uas muaj ntawv tso cai raws li cov kws kho mob sau nqi tsim nyog los muab Medi-Cal cov kev pabcuam kev coj tus cwj pwm rov qab rau cov neeg mob ntawm Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), lossis Tribal FQHCs. (Tshaj tawm lub Kaum Ob Hlis 4, 2023)
- 23-0038 Npaj kom hloov kho cov nyiaj pab ntxiv rau cov tsev kho mob tsim nyog uas ua tau raws li qhov yuav tsum tau ua thiab muab kev pabcuam hauv tsev kho mob rau cov neeg tau txais txiaj ntsig Medi-Cal rau lub sijhawm Lub Ib Hlis 1, 2024, txog rau lub Kaum Ob Hlis 31, 2024. (Tshaj tawm lub Kaum Ob Hlis 27, 2023)
- 23-0039 Npaj kom hloov cov nyiaj pab ntxiv rau cov tsev kho mob tsim nyog uas ua tau raws li cov kev cai tshwj xeeb thiab muab kev pab kho mob sab nraud hauv tsev kho mob rau cov neeg tau txais txiaj ntsig Medi-Cal rau lub sijhawm Lub Ib Hlis 1, 2024, mus txog Lub Kaum Ob Hlis 31, 2024. (Tshaj tawm lub Kaum Ob Hlis 27, 2023)
- 23-0040 Npaj kom kho cov nqi them rov qab rau qhov Kev Pabcuam Saib Xyuas Menyuam Menyuam Yaus thiab Kev Pabcuam Me Nyuam. (Tshaj tawm lub Kaum Hlis 30, 2023)
- 23-0043 Qhia kom suav nrog cov nqi them nqi raws li hom kev them nyiaj hauv tsev muag tshuaj. (Tshaj tawm lub Kaum Hlis 27, 2023)
- 23-0044 Npaj kom nthuav dav txoj cai sau npe rau cov qauv nkag. (Tshaj tawm lub Kaum Ib Hlis 3, 2023)
- 23-0045 Npaj kom hloov FFS thiab Short-Doyle Medi-Cal tus nqi tsev kho mob tus txheej txheem. (Tshaj tawm lub Kaum Ob Hlis 11, 2023)