返回按年份列出的擬議州計劃修正案

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 及 SPA 網頁建議將精神科住宿治療設施加入為 22 歲以下受益人提供住院精神科服務的環境。 此外，該 SPA 將包括 PRTF 中提供的住院精神科服務的補償方法。 （20，2023 的十二月發行）
• 24-0004提議更新和修改獨立專業護理/亞急性護理機構 B 級的報銷方法，並實施勞動力標準計劃。（發售日期：12月28 、 2023 ）
  • Note: The due date for comments is Monday, January 29, 2024.
• 24-0005 及 SPA Pages 建議為有特殊健康護理需要的兒童增加團體住所作為社區生活安排服務的新提供者，並增加參與者導向作為自主支援服務的服務提供方式。 （6，2024 年 2 月發布）
• 24-0006 及 SPA 頁面建議根據《福利及機構守則》第 4519.10 條目的現時要求，實施下一輪稅率改革調整（由 1、2024 年 7 月起生效）。 2024-25 年度總督財政預算案建議將稅率改革的全面執行，包括下一輪調整，恢復至 7 月 1、2025 的加速日期，由七月 1, 2024 起。 加州發展服務部（DDS）將繼續在行政方面為全面實施費率改革做準備，但受 2024-25 年度最終預算協議的規定。（6，2024 年 2 月發布）
• 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建議州政府與 CMS 簽訂聯邦醫療保險 A 部分 購買協議。 （25，2024 的 9 月發行）
• 24-0013和SPA頁面建議將合格私立醫院專案補充報銷的付款金額延長並更新至6月30 ， 2025 。（30，2024 年 5 月發行）  
• 24-0014 和 SPA Pages提議將合格非指定公立醫院計畫的補充報銷延長至 6 月30 、 2025 。（發售日期：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 – Please see the SPA 24-0029 Public Notice Addendum below to find more information.
• 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)
  • 24-0027 Addendum Proposes revised fiscal estimates. (Released April 25, 2024)
• 24-0028 Proposes amendment to Medi-Cal Home and Community Based Services 1915(i) State Plan for the developmentally disabled. 
• 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 Addendum Provides an update for the proposed SPA 24-0026. (Released June 26, 2024)
  • 24-0029 Addendum Proposes to include additional facilities. (Released September 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 and SPA Pages Proposes to add alternative payment methodology for capitated reimbursement of participating federally qualified health centers. (Released June 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提議擴大可以監督社區健康工作者 (CHW) 的提供者名單。DHCS 也提議對 ABP 進行技術性修改，以納入最近對專業心理健康服務的變化，並明確行為健康治療的覆蓋範圍。（發佈日期：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 and SPA Pages Proposes to update the Medi-Cal Rehabilitative Mental Health Services, Targeted Case Management, Substance Use Disorder Treatment Services, Expanded Substance Use Disorder Treatment Services, and Medication-Assisted Treatment clinical trainee provider types. (Released June 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 and SPA Pages Proposes to extend a time-limited supplemental payment program for qualifying non-hospital 340B community clinics. (Released June 27, 2024)
• 24-0047 建議更新以社區為基礎的流動危機干預遇的補償率。 （28，2024 年 6 月發行）
• 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 建議增加增強的 CHW 服務作為康復精神健康服務，藥物使用障礙（SUD）服務和擴展 SUD 服務。 （13，2024 的 9 月發行）
• 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提議規定，對於未分配的和解金、判決金和/或裁決金，醫療分配額不得超過扣除律師費和訴訟費後的和解金、判決金和/或裁決金的 50%。（發售日期：12月10 、 2024 ）