Назад к предлагаемым поправкам к государственному плану по годам​​ 

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 the Centers for Medicare & Medicaid Services (CMS). All 2024 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.​​ 

• 24-0002 Proposes to extend the Public Provider Ground Emergency Medical Transport Intergovernmental Transfer Program in calendar year 2024. (Released December 29, 2023)​​ 
• 24-0003 и страницы SPA Предлагается включить психиатрические стационарные лечебные учреждения (PRTF) в качестве учреждений, где могут предоставляться стационарные психиатрические услуги лицам в возрасте до 22 лет. Кроме того, в данное соглашение о медицинском обслуживании будет включена методология возмещения расходов на стационарные психиатрические услуги, предоставляемые в ПФР. (Выпущено в декабре 20, 2023)​​ 
• 24-0004 Proposes to renew and modify the reimbursement methodology for Freestanding Skilled Nursing/Subacute Facilities Level-B and implement the Workforce Standards Program. (Released December 28, 2023)​​ 
  • Note: The due date for comments is Monday, January 29, 2024.​​ 
• 24-0005 и страницы SPA Предлагается добавить групповые дома для детей с особыми потребностями в области здравоохранения в качестве нового поставщика услуг по организации проживания в сообществе, а также добавить метод предоставления услуг, направляемых участниками, для услуг поддержки, осуществляемых по принципу самостоятельного управления. (Выпущено в феврале 6, 2024)​​ 
• 24-0006 и страницы SPA Предлагается реализовать следующий раунд корректировки тарифной реформы, вступающий в силу с 1 июля 2024, как в настоящее время требуется в разделе 4519.10 Кодекса социального обеспечения и учреждений. В бюджете губернатора на 2024–2025 годы предлагается вернуть полную реализацию реформы ставок, включая следующий раунд корректировок, к первоначальной дате июля 1, 2025 с ускоренной даты июля 1, 2024. Департамент услуг по развитию Калифорнии (DDS) продолжает административную подготовку к полной реализации реформы тарифов в зависимости от окончательного бюджетного соглашения на 2024–2025 годы. (Выпущено в феврале 6, 2024)​​ 
• 24-0007 Proposes to update the Alternative Benefit Plan (ABP) to add PRTFs as settings where inpatient psychiatric services can be provided to Medi-Cal members under 21 years of age. This SPA also seeks to update the ABP to allow Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to bill for encounters by Licensed Professional Clinical Counselors (LPCCs) services, and Associate Professional Clinical Counselors (APCCs). (Released March 14, 2024)​​ 
• 24-0009 Proposes the Medi-Cal program to enter into value-based supplemental drug rebate agreements with manufacturers and to seek approval for an associated Value-Based Supplemental Drug Rebate Agreement template. (Released February 21, 2024)​​ 
• 24-0011 Предлагает штату заключить соглашение о приобретении Medicare Часть A с CMS. (Выпущено в сентябре 25, 2024)​​ 
• 24-0013 и страницы SPA Предлагается продлить и обновить суммы платежей для дополнительного возмещения по Программе квалифицированных частных больниц до июня 30, 2025. (Выпущено в мае 30, 2024)​​   
• 24-0014 and SPA Pages Proposes to extend the supplemental reimbursement for Qualified Non-Designated Public Hospitals Program to June 30, 2025. (Released May 30, 2024)​​ 
• 24-0015 Proposes to add APCC services as covered Medi-Cal services for FQPHCs, RHCs, and Tribal FQHCs. (Released March 12, 2024)​​ 
• 24-0016 Proposes to add Community Health Workers as a covered dental benefit to the Medi-Cal program. (Released March 6, 2024)​​  
• 24-0017 and SPA Pages Proposes to update the Medi-Cal reimbursement methodology for Diagnosis Related Group Payments for State Fiscal Year 2024-25. (Released May 30, 2024)​​ 
  • 24-0017 Addendum Proposes to add additional long-acting reversible contraception codes to the Separately Payable Services, Devices, and Supplies list. (Released June 27, 2024)​​ 
• 24-0019 Proposes to decrease the payment cap for supplemental payments for Martin Luther King Jr. – Los Angeles Healthcare Corporation. (Released May 30, 2024)​​ 
• 24-0025 Proposes to to renew the Ground Emergency Medical Transportation Quality Assurance Fee program and the reimbursement add-on provided for Medi-Cal ground emergency medical transports, effective for dates of service July 1, 2024 through June 30, 2025. (Released April 5, 2024)​​ 
• 24-0026 – Please see the SPA 24-0029 Public Notice Addendum below to find more information.​​ 
• 24-0027 Proposes to update Intergovernmental (IGT) funded payments for the Supplemental Reimbursement for Qualified Private Hospitals for State Fiscal Year 2023-24. (Released March 30, 2024)​​ 
  • 24-0027 Addendum Proposes revised fiscal estimates. (Released April 25, 2024)​​ 
• 24-0028 Proposes amendment to Medi-Cal Home and Community Based Services 1915(i) State Plan for the developmentally disabled.​​  
• 24-0029 Proposes to revise hospital program eligibility criteria and make associated technical edits to various supplemental reimbursement methodologies. (Released March 29, 2024)​​ 
  • 24-0029 Addendum Provides an update for the proposed SPA 24-0026. (Released June 26, 2024)​​ 
  • 24-0029 Addendum Proposes to include additional facilities. (Released September 20, 2024)​​ 
  • 24-0029 Addendum Provides clarifications on Disproportionate Share Hospital eligibility for cost-based hospitals. (Released September 25, 2024)​​ 
• 24-0031 Proposes to make clarifying and technical edits to Behavioral Treatment Services. (Released December 30, 2024)​​ 
• 24-0033 and SPA Pages Proposes to add alternative payment methodology for capitated reimbursement of participating federally qualified health centers. (Released June 3, 2024)​​ 
• 24-0034 Proposes to increase reimbursement rates for the Prenatal Screening and Newborn Screening Programs. (Released June 21, 2024)​​ 
• 24-0035 Proposes to update the eligibility requirements for the Health Insurance Premium Payment (HIPP) program. As currently worded, if a HIPP member does not have an existing policy, has not applied for Medicare benefits, or has the option to enroll in a managed care plan, they are ineligible for HIPP. DHCS seeks to remove these requirements. (Released November 15, 2024)​​ 
• 24-0038 Proposes to expand the list of providers who can supervise Community Health Workers (CHWs). DHCS also proposed technical edits to the ABP to include recent changes to specialty mental health services and to clarify coverage of behavioral health treatment. (Released September 12, 2024)​​ 
• 24-0039 Proposes to eliminate the Alternative Payment Methodology for COVID-19 vaccine-only visits to Federally Qualified Health Centers, Rural Health Clinics, and Tribal Health Programs.​​ 
• 24-0041 and SPA Pages Proposes to update the Medi-Cal Rehabilitative Mental Health Services, Targeted Case Management, Substance Use Disorder Treatment Services, Expanded Substance Use Disorder Treatment Services, and Medication-Assisted Treatment clinical trainee provider types. (Released June 3, 2024)​​ 
  • Note: In Supplement 2 to Attachment 3.1-B p. 11, the definition for “Clinical Trainee” includes individuals who are enrolled in a post-secondary educational degree program to become a “Registered Pharmacists”. The term ‘Registered” was mistakenly included within this definition and should instead state “Pharmacist.”​​ 
• 24-0042 Proposes to expand the continuum of Community-Based Services and Evidence-Based Practices available through Medi-Cal Specialty Behavioral Health Delivery Systems. (Released September 13, 2024)​​ 
• 24-0044 and SPA Page Proposes to add rates to the fee schedule for Withdrawal Management (WM) Levels 1 and 2 for providers in all DMC-ODS Counties. (Released October 3, 2024)​​ 
• 24-0045 and SPA Pages Proposes to extend a time-limited supplemental payment program for qualifying non-hospital 340B community clinics. (Released June 27, 2024)​​ 
• 24-0047 Предлагается обновить ставки возмещения расходов на мобильные кризисные вмешательства на уровне сообщества. (Выпущено в июне 28, 2024)​​ 
• 24-0051 Proposes to add Supported Employment as a covered service under the ABP and to add additional eligibility groups to the ABP. (Released November 13, 2024)​​ 
• 24-0052 Предлагается добавить расширенные услуги CHW в качестве реабилитационной службы психического здоровья, службы лечения расстройств, вызванных употреблением психоактивных веществ (SUD), и расширенной службы лечения расстройств, вызванных употреблением психоактивных веществ (SUD). (Выпущено в сентябре 13, 2024)​​ 
• 24-0053 Proposes to add specified hospitals to list of government-operated hospitals receiving cost-based reimbursement for inpatient hospital services. (Released September 27, 2024)​​ 
• 24-0054 Proposes to establish that, for unallocated settlements, judgments, and/or awards, the medical allocation shall be no more than 50 percent of the settlement, judgment, and/or award after deducting attorney fees and litigation costs. (Released December 10, 2024)​​