2024 年獲批准的國家計劃修訂
以下附件是加利福尼亞州計劃的修訂,最近被聯邦醫療保險和醫療補助服務中心(CMS)批准。 利害關係人可以按照文件附加的連結和說明來更新其副本。
- 24-0001修改目標族群的定義,將 5 歲以下未被診斷為發展障礙的兒童納入其中,將參與者主導的商品和服務作為一項新服務,增加參與者主導服務的預算授權,並增加額外的激勵付款,以幫助個人獲得競爭性的融合就業。
- 24-0002繼續在 2024 年曆年實施公共提供者地面緊急醫療運輸政府間轉移 (PP-GEMT IGT) 計劃,繼續為 1 月1 、 2024至 12 月31 、 2024期間符合條件的 GEMT 服務提供額外增加。
- 24-0004 繼續針對獨立技術護理/亞急性設施(FSN/SF)B 級別的現有設施特定補償方法,授權 2024 年至 2026 年的年度提高率,並授權新的勞動力標準計劃增加率。
- 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更新替代福利計劃 (ABP),將精神病住院治療機構作為可以為 21 歲以下 Medi-Cal 會員提供住院精神病服務的場所。這項特別授權協議還將更新授權協議,允許聯邦合格醫療中心 (FQHC) 和農村醫療中心 (RHC) 對執照專業臨床諮詢師和助理專業臨床諮詢師的診療服務進行收費。
- 24-0009 批准和基於價值的協議範本授權州政府簽訂基於價值的補充藥品回扣協議。
- 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將由助理專業臨床諮詢師在持證收費執業者的監督下提供的服務添加到聯邦合格醫療中心 (FQHC)、鄉村醫療中心 (RHC) 和部落 FQHC 的承保服務清單中。
- 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 財年私立醫院補充付款的醫院名單。
- 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 特別識別不涵蓋門診藥物的處方藥物 [包括美國食品和藥物管理局(FDA)授權進口的藥物]。 在 FDA 確定藥物短缺期間,這些藥物是醫療必要的保障。
- 24-0031 提出技術更新,以澄清 EPSDT 下行為健康治療的覆蓋範圍,並更新誰可以監督副專業人士。
- 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,將支持性就業作為一項涵蓋服務。此特別授權協議還將支持性就業服務擴展至所有符合醫療補助資格的群體,這些群體透過專業心理健康服務計劃、藥物醫療補助計劃和/或藥物醫療補助組織交付系統獲得准入資格。
- 24-0052 Adds Enhanced Community Health Worker services as a preventive service.
- 24-0053 更新政府經營的醫院名單,須遵守住院住院服務的指定補償方法。
- 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 更新州計劃,以確保加利福尼亞符合《合併撥款法》中包含的第三方責任要求。
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