2017 年批准的州计划修正案
以下附件是医疗保险和医疗补助服务中心 (CMS) 最近批准的加州州计划的修正案。 利益相关者可以按照文档附带的链接和说明来更新他们的副本。
17-002 Modifies the Reimbursement Methodology for Covered Outpatient Drugs
17-004医院住院服务补充付款
17-005医院门诊服务补充付款
17-006Creates a One-Time, Supplemental Payment Pool for Eligible Providers within Specific Service Categories
17-009向指定公立医院支付的研究生医学教育费用
17-012医疗用品的医生处方
17-014放射科服务的 Medi-Cal 报销率
17-015 2017-18 财年住院医院 APR-DRG 更新
17-016 Compliance with CMS Final Rule to No Longer Cover Out-of-State Former Foster Youth under Current State Plan
17-017 Removes outdated transportation pages and clarifies services surrounding Nonemergency Medical Transportation (NEMT)
17-018在替代福利计划中增加非医疗运输服务
17-019紧急空中医疗运输服务补充付款
17-020规定全州专业护理机构的加权平均费率增长
17-023提议提高对马丁·路德·金的补充付款上限 - 洛杉矶医疗保健公司
17-024 Extends the Quality and Accountability Supplemental Payment program
17-025 Changes the provider type name from Christian Science to Religious Non-Medical Health Care Institutions (RNHCIs)
17-026 Provides Updates Requested by CMS to Pages that Describe Personal Care Services
17-027 Proposes to restore adult optional dental benefits for beneficiaries ages 21 and older with full-scope dental coverage
17-028 Provides for a Time-Limited Supplemental Payment Program for Intermediate Care Facilities for the Developmentally-Disabled
17-029允许根据家庭计划、获取、护理和治疗 (Family PACT) 计划对为全面计划生育服务而进行的门诊评估和管理部分进行限时补充报销
17-030 Provides for a Supplemental Payment Program for Certain Physician Services Rendered during the July 1, 2017 to June 30, 2018 Period
17-031 One-Year Supplemental Payment for Certain Dental Services using California Healthcare, Research, and Prevention Tobacco Tax Act Funds
17-032 Inpatient Hospital- All Patient Refined – Diagnosis Related Groups updates for SFY 2017-18
17-034 Updates the Geographic Area offering Targeted Case Management Services for the “Children Under the Age of 21” Group
17-035 Updates the Geographic Area offering Targeted Case Management Services for the “Medically Fragile Individuals” Group
17-036 Updates the Geographic Area offering Targeted Case Management Services for the “Individuals at Risk for Institutionalization” Group
17-037 Updates the Geographic Area offering Targeted Case Management Services for the “Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes” Group
17-038 Updates the Geographic Area offering Targeted Case Management Services for the “Individuals with a Communicable Disease” Group
17-039 Revises the Medi-Cal Fee-for-Service Reimbursement Methodology for All-Inclusive Birth Services Provided in Alternative Birth Centers
17-0041修改替代福利计划 (ABP)，为符合条件的成年人恢复全面的成人可选牙科福利，但须遵守医疗必要性和利用控制。
17-044 Allows the State to waive premium charges for OTLICP beneficiaries affected by recent wildfires in California
联系我们
您可以将有关州计划修正案 (SPA) 的问题和疑虑通过电子邮件发送至Publicinput@dhcs.ca.gov 。 请在您的电子邮件中包含相关的 SPA 编号。
资源
CMS 最低基本保险范围确定(PDF)
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