Inalis ang Mga Susog sa Plano ng Estado
Back to California’s Medicaid State Plan Main Page
Ang mga sumusunod ay mga link sa State Plan Amendments (SPA) na isinumite sa Centers for Medicare and Medicaid Services (CMS) para sa pagsusuri at mula noon ay binawi ng DHCS. Ang mga SPA na ito ay hindi na sinusuri ng CMS.
Ang mga tanong at/o alalahanin tungkol sa anumang SPA ay maaaring isumite sa pamamagitan ng e-mail sa Publicinput@dhcs.ca.gov. Mangyaring sumangguni sa numero ng SPA na pinag-uusapan.
- 09-021A 2009 Budget Act Changes to Billing Requirements and Reimbursement of Drugs. (November 10, 2016)
- 10-025 Cost Reimbursement for Sales Tax Liability for Personal Care Services Providers
- 11-010A Reduced Payment Rates As Mandated by Assembly Bill 97 (Withdrawn on April 12, 2013)
- 11-013 Implementation of Physician Office and Clinic Visit Limits (Withdrawn on May 28, 2013)
- 12-010 Twenty Percent Reduction in Authorized Hours for Personal Care Services Program and IHHS Plus Option
- 12-024 A-C Non-Designated Public Hospitals Reimbursement Methodology to Certified Public Expenditure (CPE). (Withdrawn on July 17, 2013)
- 13-016 Covering New Qualified Immigrant and Lawfully Present Pregnant Women and Children. (Withdrawn on August 14, 2013)
- 14-011 Therapeutic Foster Care Services Bilang Isang Rehabilitative Mental Health Service
- 16-003 Updates current policies and procedures utilized for the investigation of complaints and onsite monitoring.
- 16-044 Allows supplemental reimbursement to hospitals for the provision of inpatient services to Medi-Cal beneficiaries.
- 16-045 Pinapayagan ang karagdagang reimbursement sa mga ospital para sa pagbibigay ng mga serbisyong outpatient sa mga benepisyaryo ng Medi-Cal.
- 16-046 Pagpapatuloy ng pederal na awtoridad upang ayusin ang mga rate ng Medi-Cal Fee-For-Service (FFS) outpatient provider para sa Mga Serbisyo ng Radiology.
- 17-003 Acute Inpatient Intensive Rehabilitation Services background
- 17-042 Proposed to add a fixed percentage recovery option for Medi-Cal members with non-workers’ compensation injury-related third-party settlements totaling $25,000 or less. (Withdrawn on December 21, 2017)
- 18-043 Proposed to allow supplemental reimbursement to hospitals up to the aggregate upper payment limit (UPL) without supplanting specified existing levels of payments for the provision of inpatient services to Medi-Cal beneficiaries. (Withdrawn on March 13, 2020)
- 18-044 Proposed to allow supplemental reimbursement to hospitals up to the aggregate UPL without supplanting specified existing levels of payments for the provision of outpatient services to Medi-Cal beneficiaries. (Withdrawn on March 13, 2020)
- 19-0009 Bagong Serbisyo sa Pangangalaga sa Paningin na Nakabatay sa Paaralan sa Lokal na Ahensya ng Pang-edukasyon Medi-Cal Billing Option Program (LEA BOP). (Idinirekta mula sa Abril 22, 2022)
- 20-0006 Nagmumungkahi na baguhin ang mga serbisyo ng Substance Use Disorder (SUD) sa programa ng paggamot ng Drug Medi-Cal (DMC), epektibo noong Hulyo 1, 2020. (Idinirekta mula sa Enero 26, 2022)
- 20-0008 Iminungkahing baguhin ang Plano ng Estado ng California Medicaid 1915(i) para sa mga May Kapansanan sa Pag-unlad upang magbigay ng limitadong oras na pagtaas ng rate para sa mga tinukoy na tagapagbigay ng serbisyo. (Idinirekta mula sa Hunyo 9, 2021)
- 20-0012 Iminungkahing baguhin ang California Medicaid 1915(i) State Plan for Developmentally Disabled upang magdagdag ng isang uri ng provider at mga bagong pamamaraan ng rate. (Idinirekta mula sa Hunyo 9, 2021)
- 20-0032 Iminungkahing baguhin ang Plano ng Estado ng California Medicaid 1915 (i) para sa mga may kapansanan sa pag-unlad upang magdagdag ng isang bagong uri ng serbisyo at tagapagbigay ng serbisyo para sa mga may kapansanan sa pag-unlad. (Idinirekta mula sa Hunyo 9, 2021)
- 20-0046 Iminungkahing bayaran ang pagsusuri sa COVID-19 sa mga paaralan. (Idinirekta mula sa Pebrero 25, 2021)
- 21-0003 Iminungkahing payagan ang matagal na pananatili sa mga yunit ng pagpapatatag ng krisis na may kaugnayan sa COVID-19 public health emergency (PHE). (Idinirekta mula sa Pebrero 22, 2022)
- 21-0011 Iminungkahi ang isang limitadong oras na pagtaas ng rate para sa mga tagapagbigay ng Independent Living Program, alinsunod sa Assembly Bill 79 (2020). (Idinirekta mula sa Mayo 26, 2021)
- 21-0035 Proposed to implement the provisions of the American Rescue Plan Act of 2021. (Withdrawn on November 22, 2021)
- 21-0023 and 21-0024 proposed to update the geographic area offering Targeted Case Management (TCM) services for the “Target population 15: Medically Fragile Individuals” and “Target population 16: Individuals at Risk for Institutionalization. (Withdrawn on December 13, 2021)
- 19-0016 Proposed to align the ABP with SPA 19-0009 to provide comprehensive vision services and eyeglasses as a new service to the LEA BOP. (Withdrawn on November 2, 2022)
- 23-0023 Proposed to continue augmentation payments for Medi-Cal FFS emergency medical air transportation services from July 1, 2023, through December 31, 2023, in accordance with the provisions of the Emergency Medical Air Transportation Act. (Withdrawn on March 22, 2024)
- 24-0006 Proposed to implement the next round of rate reform adjustments, effective July 1, 2024, and to add group homes for children with special health care needs as a new service provider and add participant-directed as a service delivery method for Self-directed Support Services. (Withdrawn on March 22, 2024)
- 24-0020, 24-0021, 24-0022, 24-0023, and 24-0024 Proposed to offer TCM Services – Children under 21, medically fragile individuals, individuals at risk of institutionalization, individuals in jeopardy of negative psychosocial outcomes, and individuals with a communicable disease. (Withdrawn on October 29, 2024)
- 23-0041 Proposed technical edits to clarify that Intermediate Care Facilities are also known as Nursing Facilities Level A, and to change “Intermediate Care Facility for Developmentally Disabled” to “Intermediate Care Facility for Individuals with Intellectual Disabilities.” (Withdrawn on November 22, 2024)
- 18-0007 Iminungkahing palawakin ang kahulugan ng pinahihintulutang mga gastos sa Ground Emergency Medical Transportation (GEMT) upang isama ang mga serbisyo ng pre-stabilization na ibinigay ng mga tauhan na unang dumating sa pinangyarihan sa mga trak ng bumbero, na ikinategorya bilang Ibinahaging Direktang Gastos. (Idinirekta mula sa Abril 2, 2025)
- 25-0001 Iminungkahing iwaksi ang anumang mga kinakailangan sa lagda para sa pagbibigay ng mga gamot sa panahon ng Southern California Wildfires PHE. (Idinirekta mula sa Abril 11, 2025)
- 20-0042 Proposed additional supplemental reimbursement to hospitals for the provision of inpatient services to Medi-Cal beneficiaries for SFY 2020-21. (Withdrawn on September 30, 2025)
- 21-0038 Proposed additional supplemental reimbursement to hospitals for the provision of inpatient services to Medi-Cal beneficiaries for SFY 2021-22. (Withdrawn on September 30, 2025)