Bumalik sa Iminungkahing Mga Pagbabago sa Plano ng Estado ayon sa Taon​​ 

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 Nagmumungkahi na i-update ang Kasalukuyang Dental Terminology (CDT) dental code na nakatakda sa CDT 2023. (Inilabas noong Disyembre 2, 2022)​​ 
• 23-0003 Nagmumungkahi na ayusin ang mga rate ng pagbabayad ng Medi-Cal Fee-for-Service (FFS) para sa matibay na kagamitang medikal. (Inilabas noong Disyembre 28, 2022)​​ 
• 23-0004 Nagmumungkahi na ayusin ang mga rate ng pagbabayad ng Medi-Cal FFS para sa mga serbisyo ng radiology. (Inilabas noong Disyembre 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 Nagmumungkahi ng mga update sa mga kinakailangan sa pagpapatala ng provider para sa Registered Dental Hygienists in Alternative Practice (RDHAP). (Inilabas noong Setyembre 8, 2023)​​ 
• 23-0023 Nagmumungkahi na i-renew ang supplemental payment Programa para sa Emergency Medical Air Transportation Services. (Inilabas noong Hunyo 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 Public Notice at SPA Pages Nagmumungkahi ng mga pagbabago sa Rehabilitative Mental Health Services, Targeted Case Management, Substance Use Disorder Treatment Services, Expanded Substance Use Disorder Treatment Services, Medication-Assisted Treatment at Community-Based Mobile Crisis Intervention Services mga uri at kwalipikasyon . (Inilabas noong Agosto 22, 2023)​​  
• 23-0027 Nagmumungkahi na gamitin ang mga kredensyal na practitioner ng Mga Serbisyo sa Tauhan ng Mag-aaral bilang isang natatanging uri ng provider sa Medi-Cal Programa. (Inilabas noong Nobyembre 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 Nagmumungkahi na pahintulutan ang Mga Lisensyadong Propesyonal na Clinical Counselor bilang mga masisingil na propesyonal sa pangangalagang pangkalusugan na karapat-dapat na magkaloob ng mga serbisyong pangkalusugan sa pag-uugali sa pag-uugali ng Medi-Cal sa mga pasyente sa Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), o Tribal FQHCs. (Inilabas noong Disyembre 4, 2023)​​ 
• 23-0038 Nagmumungkahi na amyendahan ang mga pandagdag na pagbabayad sa mga karapat-dapat na ospital na nakakatugon sa mga tinukoy na kinakailangan at nagbibigay ng mga serbisyong inpatient ng ospital sa mga benepisyaryo ng Medi-Cal para sa panahon ng Enero 1, 2024, hanggang Disyembre 31, 2024. (Inilabas noong Disyembre 27, 2023)​​ 
• 23-0039 Nagmumungkahi na amyendahan ang mga karagdagang pagbabayad sa mga karapat-dapat na ospital na nakakatugon sa mga tinukoy na kinakailangan at nagbibigay ng mga serbisyong outpatient ng ospital sa mga benepisyaryo ng Medi-Cal para sa panahon ng Enero 1, 2024, hanggang Disyembre 31, 2024. (Inilabas noong Disyembre 27, 2023)​​ 
• 23-0040 Nagmumungkahi na ayusin ang mga rate ng reimbursement para sa Prenatal Screening Program at Newborn Screening Program. (Inilabas noong Oktubre 30, 2023)​​ 
• 23-0043 Nagmumungkahi na isama ang presyo ng invoice bilang isang uri ng pagbabayad ng benepisyo sa parmasya. (Inilabas noong Oktubre 27, 2023)​​ 
• 23-0044 Nagmumungkahi na palawakin ang awtoridad sa pagrereseta para sa enteral formula. (Inilabas noong Nobyembre 3, 2023)​​ 
• 23-0045 Nagmumungkahi na baguhin ang pamamaraan ng rate ng ospital ng FFS at Short-Doyle Medi-Cal. (Inilabas noong Disyembre 11, 2023)​​