2015 Approved State Plan Amendments
Back to Approved State Plan Amendments (SPA) by Year
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.
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15-002A
Updates the benefit and reimbursement pages for case management services for childhood lead poisoning prevention
15-003
Private Hospital Supplemental Fund Program (PHSF)
15-004
Non-Designated Public Hospital Supplemental Fund Program (NDPHSF)
15-005 Provides updates to the other licensed providers section of the State Planhttps://dhcscagovauthoring/formsandpubs/laws/Documents/15-024-Approval.pdf
15-007 Makes technical updates to the Pediatric Immunization Program/VFC
15-008 Supplemental Reimbursement to Martin Luther King Jr. - Los Angeles Healthcare Corporation (MLK-LA)
15-010 Provides updates to dental services including the use of teledentistry live transmissions through teleministry
15-011 Updates threshold limits and exclusions by the Third Party Liability and Recovery Division
15-012 Modifies substance use disorder services in the Drug Medi-Cal (DMC) Treatment Program
15-013 Modifies substance use disorder services in the Drug Medi-Cal
15-014 Updates Year three Diagnosis Related Group (DRG) payment parameters for general acute inpatient services
15-015 Develops new rate-setting reimbursement methodology for clinical laboratory or laboratory services
15-018 Provides updates to both the Other Licensed Providers and Alternative Birth Center (ABC)
15-019 Exempts dental services and applicable ancillary services from the Medi-Cal provider ten percent payment reduction
15-020 Updates Year three Diagnosis Related Group (DRG) payment parameters for Out-of-State border hospitals
15-021 Updates the payment methodology for the Local Educational Agency (LEA) Medi-Cal Billing Option Program
15-023 Provides for an additional year, augmentation payments to emergency medical air transportation providers for services
15-024 Adds licensed midwives to the Alternative Benefit Plan (ABP) section of the state plan
15-025 A technical update to remove all references to the Transitional Inpatient Care Program
15-026
Updates the geographic area offering Targeted Case Management (TCM) services for the “Children Under the Age of 21” TCM group.
15-027
Updates the geographic area offering Targeted Case Management (TCM) services for the “Medically Fragile Individuals” TCM group.
15-028
Updates the geographic area offering Targeted Case Management (TCM) services for the “Individuals at Risk of Institutionalization”
15-029
Updates Targeted Case Management (TCM) services for the “Individuals in Jeopardy of Negative Health of Psycho-Social Outcomes”
15-030
Updates Targeted Case Management (TCM) services for the “Individuals with a Communicable Disease”
15-031
Adds an Industry Average Rate Methodology to determine an interim Medi-Cal payment rate for Local Governmental Agencies(LGAs) that are enrolling or re-enrolling in the Targeted Case Management (TCM) Program
15-032-A
Describes changes to the reimbursement rate methodology applicable to long term care freestanding nursing facilities
15-033 Proposes an additional reporting method for determining the hospital's Cost-to-Charge Ratio in All Patient Refined Diagnosis Related Group Reimbursement Methodology
15-034 Updates language regarding Early and Periodic, Screening, Diagnostic, and Treatment and preventive and wellness services
15-035 P
rovides technical, non-substantive updates to dealing with interagency agreements (IAs)
15-036 Provides technical updates to language regarding prosthetic and orthotic appliances and hearing aids
