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​2012 Approved State Plan Amendments (SPA)

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​The following attachments are amendments to the California State Plan that were recently approved by the Centers for Medicare and Medicaid Services (CMS).  Stakeholders can update their copies by following the links and instructions attached to the documents. 


​12-001A​ Reimbursement for Emergency Air Medical Transportation Services (PDF, Approved on 11/5/2012)
12-001B​​ Reimbursement for Emergency Air Medical Transportation Services (PDF, Approved on 5/19/2014)
​12-002 Amendment to the Medi-Cal Tribal and Designee Advisory Process (PDF on 6/15/2012)
​12-004 Payment Adjustment for Provider-Preventable Conditions (PDF, Approved on 7/3/2012)
12-005 ​Update Program Coverage and Replace References of Alcohol and Drug Programs to DHCS (PDF, Approved on 12/20/2012)
12-006 Companion Letter with the Approval of SPA 11-009 Provider Payment Reduction (PDF) ​
12-008 Provider Screening and Enrollment (PDF, Approved on 11/21/2012)
12-009 Remove Individualized Health and Support Plan from Case Management Services ​
12-011 Provision of Concurrent Palliative and Curative Care for Children Using Hospice Services (PDF, Approved on 3/8/2013)
12-012 Exemption from Reduced Payment Rates as Mandated by Assembly Bill 97 For Specific Facilities (PDF, Approved on 12/6/2012)
12-014 Implementing Drug Product Payment Reductions (PDF, Approved 1/30/2014)
12-016 Pediatric Day Health Care, Exemption From 10 Percent Payment Reduction (PDF, Approved on 9/11/2012) 
12-020​ Adds participant direction as an option for existing 1915(i) State Plan Home and Community-Based Services (HCBS)
12-021 Public Hospital Distinct Part Nursing Facility Supplemental Reimbursement (PDF, Approved on 12/19/2012)
12-022 Exempt Audiology Services Provided by Type C Communication Disorder Centers in California counties (Approved on 8/28/2013)
12-023 Freestanding Skilled Nursing Facilities Reimbursement Rates (PDF, Approved on 12/19/2012)
12-025 Licensed Professional Clinical Counselors as Providers for Medi-Cal Rehabilitative Mental Health and TCM Services (12/18/2012)
12-027 Tobacco Cessation Services for Pregnant Women (PDF, Approved on 3/13/2013)
12-028 Ten Percent Payment Reduction For Clinical Laboratory or Laboratory Services (PDF)
12-029​ Targeted Case Management - Medically Fragile Individuals (PDF, Approved 12/12/2012)

 

Last modified date: 3/23/2021 3:34 AM