2017 Approved State Plan Amendments
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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.17-002 Modifies the Reimbursement Methodology for Covered Outpatient Drugs
17-004 Supplemental Payments for Hospital Inpatient Services
17-005 Supplemental Payments for Hospital Outpatient Services
17-006 Creates a One-Time, Supplemental Payment Pool for Eligible Providers within Specific Service Categories 17-009 Graduate Medical Education Payments to Designated Public Hospitals
17-012 Physician Prescriptions for Medical Supplies
17-014 Medi-Cal reimbursement rates for Radiology Services
17-015 Inpatient Hospital APR-DRG Updates for State Fiscal Year 2017-18
17-016 Compliance with CMS Final Rule to No Longer Cover Out-of-State Former Foster Youth under Current State Plan
17-017 Removes outdated transportation pages and clarifies services surrounding Nonemergency Medical Transportation (NEMT) 17-018 Adds nonmedical transportation services in the Alternative Benefit Plan
17-019 Supplemental Payments for Emergency Air Medical Transportation Services
17-020 Specifies Statewide Weighted-Average Rate Increase for Skilled Nursing Facilities
17-023 Proposed Increase to the Cap for Supplemental Payments Made to the Martin Luther King, Jr. – Los Angeles Healthcare Corporation
17-024 Extends the Quality and Accountability Supplemental Payment program
17-025 Changes the provider type name from Christian Science to Religious Non-Medical Health Care Institutions (RNHCIs)
17-026 Provides Updates Requested by CMS to Pages that Describe Personal Care Services
17-027 Proposes to restore adult optional dental benefits for beneficiaries ages 21 and older with full-scope dental coverage
17-028 Provides for a Time-Limited Supplemental Payment Program for Intermediate Care Facilities for the Developmentally-Disabled
17-029 Allows for Time-Limited Supplemental Reimbursements under the Family Planning, Access, Care, and Treatment (Family PACT) program for the Evaluation and Management Portion of Office Visits Rendered for the Purpose of Comprehensive Family Planning Services
17-030 Provides for a Supplemental Payment Program for Certain Physician Services Rendered during the July 1, 2017 to June 30, 2018 Period
17-031 One-Year Supplemental Payment for Certain Dental Services using California Healthcare, Research, and Prevention Tobacco Tax Act Funds
17-032 Inpatient Hospital- All Patient Refined - Diagnosis Related Groups updates for SFY 2017-18
17-034 Updates the Geographic Area offering Targeted Case Management Services for the “Children Under the Age of 21” Group
17-035 Updates the Geographic Area offering Targeted Case Management Services for the “Medically Fragile Individuals” Group
17-036 Updates the Geographic Area offering Targeted Case Management Services for the “Individuals at Risk for Institutionalization” Group
17-037 Updates the Geographic Area offering Targeted Case Management Services for the “Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes” Group
17-038 Updates the Geographic Area offering Targeted Case Management Services for the “Individuals with a Communicable Disease” Group
17-039 Revises the Medi-Cal Fee-for-Service Reimbursement Methodology for All-Inclusive Birth Services Provided in Alternative Birth Centers 17-0041 Amends the Alternative Benefits Plan (ABP) to restore comprehensive adult optional dental benefits, subject to medicall necessity and utilization controls, for eligible adults.
17-044 Allows the State to waive premium charges for OTLICP beneficiaries affected by recent wildfires in California Contact Us
You may email your questions and concerns regarding State Plan Amendments (SPAs) to Publicinput@dhcs.ca.gov. In your email, please include the SPA number in question.
Resources
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