2023년 국가 계획 수정 제안에 대한 공개 공지
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 현재 치과용어(CDT) 치과 코드를 CDT 2023으로 업데이트할 것을 제안합니다. (12월 출시 2, 2022)
- 23-0003 내구성 의료 장비에 대한 Medi-Cal Fee-for-Service (FFS) 환급률 조정을 제안합니다. (12월 출시 28, 2022)
- 23-0004 방사선 서비스에 대한 Medi-Cal FFS 상환 비율을 조정할 것을 제안합니다. (12월 출시 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 대체 진료 등록 치과위생사(RDHAP)에 대한 제공자 등록 요건에 대한 업데이트를 제안합니다. (9월 출시 8, 2023)
- 23-0023 응급 의료 항공 운송 서비스에 대한 추가 지불 프로그램을 갱신할 것을 제안합니다. (6월 출시 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 공고 및 SPA 페이지 재활 정신 건강 서비스, 대상 사례 관리, 약물 사용 장애 치료 서비스, 확장된 약물 사용 장애 치료 서비스, 약물 보조 치료 및 지역사회 기반 모바일 위기 개입 서비스 제공자 유형 및 자격에 대한 변경 사항을 제안합니다. (8월 출시 22, 2023)
- 23-0027 학생 인사 서비스 자격을 갖춘 개업의를 Medi-Cal 프로그램에서 별도의 제공자 유형으로 채택할 것을 제안합니다. (11월 출시 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 면허를 소지한 전문 임상 상담사를 연방 공인 보건 센터(FQHC), 농촌 보건 클리닉(RHC) 또는 부족 FQHC에서 환급 가능한 Medi-Cal 행동 건강 서비스를 환자에게 제공할 수 있는 청구 가능한 의료 전문가로 승인할 것을 제안합니다. (12월 출시 4, 2023)
- 23-0038 1월 1, 2024, 12월 31, 2024 기간 동안 특정 요건을 충족하고 Medi-Cal 수혜자에게 병원 입원 서비스를 제공하는 적격 병원에 대한 추가 지급을 수정할 것을 제안합니다. (12월 출시 27, 2023)
- 23-0039 1월 1, 2024, 12월 31, 2024 기간 동안 특정 요건을 충족하고 Medi-Cal 수혜자에게 병원 외래 환자 서비스를 제공하는 적격 병원에 대한 추가 지급을 수정할 것을 제안합니다. (12월 출시 27, 2023)
- 23-0040 산전 선별 검사 프로그램 및 신생아 선별 검사 프로그램에 대한 환급 비율을 조정할 것을 제안합니다. (10월 출시 30, 2023)
- 23-0043 약국 혜택 결제 유형에 청구서 가격을 포함할 것을 제안합니다. (10월 출시 27, 2023)
- 23-0044 장용 조제분유 처방 권한을 확대할 것을 제안합니다. (11월 출시 3, 2023)
- 23-0045 FFS 및 Short-Doyle Medi-Cal 병원 요금 방법론을 수정할 것을 제안합니다. (12월 출시 11, 2023)