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2024 年拟议州计划修正案的公告

返回按年份列出的拟议州计划修正案

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和SPA 页面建议将精神病住院治疗设施 (PRTF) 纳入为 22 岁以下受益人提供住院精神病服务的场所。 此外，该SPA还将包括PRTF提供的住院精神病服务的报销方法。 （发布日期： 20年 12 月， 2023年）
  • 24-0004提议更新和修改独立专业护理/亚急性护理机构 B 级的报销方法，并实施劳动力标准计划。（发布日期：12月28 、 2023 ）
    • 注意：评论截止日期为1月29日， 2024日，星期一。
  • 24-0005和SPA 页面建议增加特殊医疗保健需求儿童的集体住宅作为社区生活安排服务的新提供者，并增加参与者指导作为自我指导支持服务的服务提供方式。 （发布日期： 6年 2 月， 2024年）
  • 24-0006和SPA 页面提议实施下一轮费率改革调整，自 2017 年 7 月1日起生效2024目前已符合福利和机构法典第 4519.10 节的要求。 2024-25 年州长预算提议将费率改革的全面实施（包括下一轮调整）从提前的 7 月1 2024日恢复到原定的 7 月1年2025日。 加州发展服务部 (DDS) 正在继续进行行政准备，以全面实施费率改革，但须遵守 2024-25 年最终预算协议。（发布日期： 6年 2 月、 2024 2 月）
  • 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建议该州与 CMS 签订 Medicare Part A 买入协议。 （发布于25年 9 月、 2024 ）
  • 24-0013 和 SPA 页面提议将合格私立医院计划的补充报销付款金额延长并更新至 6 月30日， 2025 。（发布日期： 30 、 2024 ）  
  • 24-0014 和 SPA Pages提议将合格非指定公立医院计划的补充报销延长至 6 月30 、 2025 。（发布日期：5月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 – 请参阅下面的 SPA 24-0029 公共通知附录，以了解更多信息。
  • 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)
  • 24-0028提议修改 Medi-Cal 家庭和社区服务 1915(i) 州计划，以照顾发育障碍人士。 
  • 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 补充文件对拟议的 SPA 24-0026 进行了更新。（发布日期：6月26 、 2024 ）
    • 24-0029 补充方案提议增加其他设施。（发布日期：9月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 和 SPA Pages提议为参与联邦合格医疗中心的按人头付费增加替代支付方法。（发布日期：6月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提议扩大可以监督社区卫生工作者 (CHW) 的提供者名单。DHCS 还提议对 ABP 进行技术性修改，以纳入最近对专业心理健康服务的变化，并明确行为健康治疗的覆盖范围。（发布日期：9月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 和 SPA 页面提议更新 Medi-Cal 康复心理健康服务、目标个案管理、物质使用障碍治疗服务、扩展物质使用障碍治疗服务和药物辅助治疗临床实习提供者类型。（发布日期：6月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 和 SPA Pages提议延长符合条件的非医院 340B 社区诊所的限时补充支付计划。（发布日期：6月27 、 2024 ）
  • 24-0047建议更新社区移动危机干预事件的报销率。 （发布日期： 28年 6 月、 2024 6 月）
  • 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建议将增强型 CHW 服务添加为康复精神健康服务、物质使用障碍 (SUD) 服务和扩展的 SUD 服务。 （发布于13年 9 月、 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提议规定，对于未分配的和解金、判决金和/或裁决金，医疗分配额不得超过扣除律师费和诉讼费后的和解金、判决金和/或裁决金的 50%。（发布日期：12月10 、 2024 ）