2023 年擬議國家計劃修訂公告
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 CMS. All 2023 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.
- 23-0001 建議將目前牙科術語（CDT）的牙科代碼更新設為 2023 年 CDT。 （2，2022 的十二月發行）
- 23-0003建議調整Medi-Cal Fee-for-Service ( FFS ) 報銷率。 （28，2022 的十二月發行）
- 23-0004建議調整加州醫療補助健康保健計畫FFS放射科服務報銷率。 （28，2022 的十二月發行）
- 23-0006 and SPA Pages for Public Comment Proposes to renew and modify the existing facility-specific reimbursement methodology for Freestanding Skilled Nursing Facility Level-B (FS/NF-B) and Freestanding Subacute (FSSA) facilities. (Original notice released on December 28, 2022, while addendum was released on January 30, 2023)
- 23-0007 Addendum Proposes supplemental payments for certain inpatient services to eligible hospitals in the Hospital Quality Assurance Fee (HQAF) Program up to the federal upper payment limit. This public notice addendum announces the changes in SPA number from the original SPA 22-0056 public notice and the estimated fiscal impact. (Released March 17, 2023)
- 23-0007 Addendum Proposes a fiscal impact update. (Released November 21, 2023)
- 23-0008 Addendum Proposes supplemental payments for certain outpatient services to eligible hospitals in the Hospital Quality Assurance Fee (HQAF) Program up to the federal upper payment limit. This public notice addendum announces the changes in SPA number from the original SPA 22-0057 public notice and the estimated fiscal impact. (Released March 17, 2023)
- 23-0008 Addendum Proposes a fiscal impact update. (Released November 22, 2023)
- 23-0010 Proposes to establish a reimbursement methodology for dyadic services. (Released March 14, 2023)
- 23-0013 and SPA Pages for Public Comment Proposes to extend the Supplemental Reimbursement for Qualified Private Hospitals Program to June 30, 2024. (Original notice released on June 28, 2023, while addendum was released on August 15, 2023)
- 23-0013 Addendum Proposes a fiscal impact update. (Released September 14, 2023)
- 23-0014 Proposes to update the Medi-Cal reimbursement methodology for state fiscal year 2023-24 Diagnosis Related Group Payments. (Released June 29, 2023)
- 23-0015 Proposes to modify the reimbursement methodology with County Behavioral Health Plans for Medi-Cal behavioral health services. (Released March 8, 2023)
- 23-0016 Proposes to extend the supplemental reimbursement for the Qualified Non-Designated Public Hospitals program to June 30, 2024. (Released May 9, 2023)
- 23-0017 Proposes to decrease the payment cap for supplemental payments for Martin Luther King, Jr. – Los Angeles Health Care Corporation. (Released May 4, 2023)
- 23-0019 Proposes to adjust certain Medi-Cal Fee-For-Service FFS reimbursement rates for clinical laboratory or laboratory services. (Released June 30, 2023)
- 23-0020 Proposes to renew the Ground Emergency Medical Transportation Quality Assurance Fee program and the reimbursement add-on provided for Medi-Cal ground emergency medical transports. (Released May 31, 2023)
- 23-0022 建議更新註冊牙科衛生師（RDHAP）的提供者註冊要求。 （8，2023 的 9 月發行）
- 23-0023建議續訂緊急醫療航空運輸服務補充付款專案。 （29，2023 年 6 月發行）
- 23-0024 Proposes to add Coordinated Family Supports in Home and Community Based Services for Developmentally Disabled. (Released June 30, 2023)
- 23-0026 公眾通知及 SPA 頁面提出修改復精神健康服務、針對性個案管理、藥物使用障礙治療服務、擴充物質使用障礙治療服務、藥物輔助治療以及社區移動危機干預服務供應商的類型和資格。（22 月 2023 發布）
- 23-0027提議採用學生人事服務認證從業人員作為加州醫療補助健康保健計劃專案中的獨特提供者類型。 （22，2023）11 月發布）
- 23-0028 Proposes to gradually unwind the COVID-19 increase for Freestanding Pediatric Subacute Facilities. (Released June 30, 2023)
- 23-0028 Addendum Proposes to adjust the rate year period. (Released July 31, 2023)
- 23-0029 Proposes to clarify and update denture policy categorical information and clarify exemptions in the prosthodontics (removable) general policies. (Released September 13, 2023)
- 23-0031 Proposes to extend time-limited supplemental payment program for qualifying non-hospital 340B community clinics. (Released June 28, 2023)
- 23-0032 Proposes to shift reimbursement for specified long-term care facilities to a calendar rate year. (July 31, 2023)
- 23-0035 Proposes reimbursement rate increases for primary care, obstetric, and non-specialty mental health services, effective for dates of service on or afterJanuary 1, 2024. (Released August 28, 2023)
- 23-0036 Proposes to add the following to the 1915(i) State Plan: modifying the definition of target population to include children under 5 years old without a diagnosis of developmental disability, increase rates for independent living programs, adult residential homes and participant directed Day Service and Supported Employment, add participant-directed goods and services as a new service, add budget authority for participant direction of services, and add additional incentive payments for assisting individuals to obtain competitive integrated employment. (Released September 1, 2023)
- 23-0037提議授權持照專業臨床顧問作為有資格向聯邦合格健康中心(FQHC)、農村健康診所(RHC) 或部落FQHC 的患者提供可報銷加州醫療補助健康保健計劃行為健康服務的計費醫療保健專業人員。 （4，2023 的十二月發行）
- 23-0038建議修改 1 月1 、 2024至 12 月31 、 2024 。 （27，2023 的十二月發行）
- 23-0039建議修改 1 月1 、 2024至 12 月31 、 2024 。（27，2023 的十二月發行）
- 23-0040建議調整產前篩檢專案及新生兒篩檢專案報銷比例。 （30，2023 的 10 月發行）
- 23-0043 建議將發票價格納入藥房福利支付方式。 （27，2023 的 10 月發行）
- 23-0044 建議擴大腸藥配方的處方權。 （3，2023）11 月發布）
- 23-0045建議修改FFS和 Short-Doyle 加州醫療補助健康照護計畫醫院費率方法。 （11，2023 的十二月發行）