Quay lại Đề xuất sửa đổi Kế hoạch Tiểu bang theo Năm​​ 

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 và Trang SPA Đề xuất đưa Cơ sở điều trị tâm thần lưu trú (PRTF) vào danh sách nơi có thể cung cấp dịch vụ tâm thần nội trú cho những người thụ hưởng dưới 22 tuổi. Ngoài ra, SPA này sẽ bao gồm phương pháp hoàn trả cho các dịch vụ tâm thần nội trú được cung cấp tại các PRTF. (Phát hành tháng 12 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 và Trang SPA Đề xuất thêm các nhà nhóm cho trẻ em có nhu cầu chăm sóc sức khỏe đặc biệt làm nhà cung cấp mới cho các dịch vụ sắp xếp sinh hoạt cộng đồng và thêm dịch vụ do người tham gia chỉ đạo làm phương pháp cung cấp dịch vụ cho các dịch vụ hỗ trợ tự chỉ đạo. (Phát hành vào tháng 2 6, 2024)​​ 
• 24-0006 và SPA Pages Đề xuất thực hiện vòng điều chỉnh cải cách tỷ lệ tiếp theo, có hiệu lực từ ngày 1 tháng 7, 2024, theo yêu cầu hiện hành trong mục 4519.10 của Bộ luật Phúc lợi và Viện dưỡng. Ngân sách Thống đốc năm 2024-25 đề xuất lùi thời điểm thực hiện đầy đủ cải cách tỷ lệ, bao gồm cả đợt điều chỉnh tiếp theo này, sang ngày ban đầu là ngày 1 tháng 7, 2025 từ ngày được đẩy nhanh là ngày 1 tháng 7, 2024. Sở Dịch vụ Phát triển California (DDS) đang tiếp tục chuẩn bị về mặt hành chính để thực hiện đầy đủ cải cách mức phí, tuân theo thỏa thuận ngân sách cuối cùng cho năm 2024-25. (Phát hành 6 tháng 2, 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 Đề xuất tiểu bang ký thỏa thuận mua vào Medicare Phần A với CMS. (Phát hành tháng 9 25, 2024)​​ 
• 24-0013 và Trang SPA Đề xuất gia hạn và cập nhật số tiền thanh toán cho khoản hoàn trả bổ sung cho Chương trình Bệnh viện tư nhân đủ điều kiện đến tháng 6 30, 2025. (Phát hành ngày 30 tháng 5, 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 Đề xuất cập nhật tỷ lệ hoàn trả cho các Cuộc gặp gỡ can thiệp khủng hoảng lưu động tại cộng đồng. (Phát hành vào tháng 6 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 Đề xuất bổ sung Dịch vụ CHW nâng cao thành Dịch vụ phục hồi sức khỏe tâm thần, Dịch vụ Rối loạn sử dụng chất gây nghiện (SUD) và Dịch vụ SUD mở rộng. (Phát hành tháng 9 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)​​