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表格、法律和出版物法律法规 2024年批准的州计划修正案

2024 年批准的州计划修正案

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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。

  • 24-0001修改目标人群的定义,将 5 岁以下未被诊断为发育障碍的儿童纳入其中,将参与者主导的商品和服务作为一项新服务,增加参与者主导服务的预算授权,并增加额外的激励付款,以帮助个人获得竞争性的融合就业。 
  • 24-0002继续在 2024 年日历年实施公共提供者地面紧急医疗运输政府间转移 (PP-GEMT IGT) 计划,继续为 1 月1 、 2024至 12 月31 、 2024期间符合条件的 GEMT 服务提供额外增加。 
  • 24-0004继续现有的针对独立专业护理/亚急性设施 (FSN/SF) B 级的特定设施报销方法,授权 2024 年至 2026 日历年的费率增加,并授权新的劳动力标准计划费率增加。
  • 24-0005 Add group homes for children with special health care needs as a new provider of community living arrangement services and add participant-directed as a service delivery method for self-directed support services.
  • 24-0007更新替代福利计划 (ABP),将精神病住院治疗机构作为可以为 21 岁以下 Medi-Cal 会员提供住院精神病服务的场所。该特别授权协议还将更新授权协议,允许联邦合格医疗中心 (FQHC) 和农村医疗中心 (RHC) 对持证专业临床咨询师和助理专业临床咨询师的诊疗服务进行收费。 
  • 24-0009 批准基于价值的协议模板授权州政府签订基于价值的补充药品回扣协议。
  • 24-0011 Enters into a Medicare Part A Buy-In agreement with the Centers for Medicare & Medicaid Services.
  • 24-0013 Extends the Supplemental Reimbursement for Qualified Private Hospitals program to June 30, 2025 and to update payment amounts for State Fiscal Year (SFY) 2024-25. 
  • 24-0014 Extends the Non-Designated Public Hospital Supplemental Fund program for the State Fiscal Year (SFY) ending 2025, effective July 1, 2024. 
  • 24-0015将由助理专业临床咨询师在持证收费执业者的监督下提供的服务添加到联邦合格医疗中心 (FQHC)、乡村医疗中心 (RHC) 和部落 FQHC 的承保服务清单中。 
  • 24-0016 Updates the dental fee schedule to allow reimbursement for preventive oral health community health worker services. 
  • 24-0017 Updates the Diagnosis Related Group payment parameters for general acute inpatient services provided by various hospitals. 
  • 24-0025 Updates reimbursement rate add-on for Ground Emergency Medical Transport (GEMT) services under the GEMT Quality Assurance Fee Program. 
  • 24-0026 Updates the hospitals that will be owned or operated by the University of California as of April 1, 2024, and to make corresponding technical edits.
  • 24-0027更新了 2024 财年私立医院补充付款的医院名单。
  • 24-0028 Implements the final round of rate increases as described in the DDS 2019 rate study; add a new service titled Person-Centered Future Planning; add a corresponding provider type, and a payment methodology for this service; increase rates for FMS providers; add a new provider to Community Living Arrangement Services with the opportunity to participant direct. 
  • 24-0029 Updates the list of government-operated hospitals subject to specified reimbursement methodologies for inpatient hospital services
  • 24-0030具体标明了不属于门诊药品范围的处方药 [包括美国食品药品监督管理局 (FDA) 批准进口的药品]。 当 FDA 发现药品短缺时,若有医疗需要,这些药品属于承保福利。 
  • 24-0031提出技术更新,以澄清 EPSDT 下行为健康治疗的覆盖范围,并更新谁可以监督助理专业人员。 
  • 24-0035 Updates the eligibility requirements for the Health Insurance Premium Payment program.
  • 24-0037 Adds pharmacies as supervisors of Community Health Workers. 
  • 24-0038 Updates the ABP to add pharmacies to the list of providers who can supervise community health workers. 
  • 24-0039 Eliminates the alternative payment methodology to FQHCs, RHCs, and Tribal Health Programs for COVID-19 vaccine-only administration visits.
  • 24-0040 Change from voluntary to mandatory Adult and Child Core Sets Reporting of health quality measures.
  • 24-0041 Update the clinical trainees provider definition listed under Rehabilitative Mental Health Services, Targeted Case Management, Substance Use Disorder Treatment Services, Expanded Substance Use Disorder Treatment Services, and Medication-Assisted Treatment.
  • 24-0042 Expands the continuum of community-based services and evidence-based practices available through Medi-Cal specialty behavioral health delivery systems. 
  • 24-0051更新 ABP,将支持性就业作为一项涵盖服务。该特别授权协议还将支持性就业服务扩展至所有符合医疗补助资格的群体,这些群体通过专业心理健康服务计划、药物医疗补助计划和/或药物医疗补助组织交付系统获得准入资格。 
  • 24-0052 Adds Enhanced Community Health Worker services as a preventive service.
  • 24-0053更新了遵守特定住院服务报销方法的政府运营医院名单。 
  • 24-0054 Establishes guidelines for the medical allocation for unallocated settlements, judgments, and/or awards to avoid unnecessary costs associated with litigation over the medical allocation of an unallocated settlement, judgment, and/or award.
  • 24 - 0056 更新州计划,以便加利福尼亚州遵守综合拨款法案中的第三方责任要求。  

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