DHMH Medicaid Regulation Sign-off - Maryland
MEDICAID ADVISORY COMMITTEE MONTHLY STATE PLAN AMENDMENT REPORT
April 22, 2010
| | |SUBMITTED TO CMS |APPROVED |COMMENTS |
|STATE PLAN AMENDMENT |PURPOSE | | | |
|09-07 |To provide for Medicaid/CHIP coverage to 1) qualified alien children |06/29/2009 |03/04/2010 | |
| |below the 5-year bar with incomes up to 300% FPL and 2) qualified | | | |
| |alien pregnant women below the 5-year bar with incomes up to 250% | | | |
| |FPL, through a federally-supported program. This coverage is | | | |
| |provided currently through a state-funded program referred to as | | | |
| |“State-funded Medical Assistance for Ineligible Aliens.” | | | |
|09-09 |The purpose of the state plan is to reflect changes in the |09/30/2009 | | |
|Nursing Facility |regulations related to reimbursement for nursing facility services | | | |
| |(July 1, 2009) | | | |
|09-10 |The purpose of the state plan is to add Functional Family Therapy |09/29/09 | | |
|Functional Family Therapy (FFT) |(FFT) which is a family based prevention and intervention program | | | |
| |that focuses on children who are involved with the juvenile justice | | | |
| |system. | | | |
|09-11 |The purpose of the state plan is to add Multisystemic Therapy (MST) |09/29/09 | | |
|Multisystemic Therapy (MST) |which is a family-based model of treatment for youth who are involved| | | |
| |with the juvenile justice system. | | | |
|09-12 |The purpose of the state plan is to reflect changes in the |09/30/09 | | |
|Nursing Facility |regulations related to reimbursement for nursing facility services. | | | |
| |(August 1, 2009) | | | |
MEDICAID ADVISORY COMMITTEE MONTHLY STATE PLAN AMENDMENT REPORT
April 22, 2010
| | |SUBMITTED TO CMS |APPROVED |COMMENTS |
|STATE PLAN AMENDMENT |PURPOSE | | | |
|09-13 |The purpose of this amendment is to reduce the payments to hospitals |09/30/09 | | |
|Residential Treatment Centers |in the District of Columbia by 2% of the current rate. The amendment| | | |
| |also modifies rate setting assumptions for one category of | | | |
| |Residential Treatment Centers. | | | |
|10-02 |This amendment is being submitted to reflect changes in the |12/29/09 | | |
|Nursing Facility |regulations related to reimbursement for nursing facility services. | | | |
| |No impact on net reimbursement to nursing facilities is projected. | | | |
| |(December 1, 2009) | | | |
|10-03 |The purpose of this action is to include budget limitation language |03/30/10 | | |
|Home Health |to payment procedures and maintain the current rate of reimbursement | | | |
| |during the period January 1, 2010 through December 31, 2010. | | | |
|10-04 |EPSDT and other services. |03/31/10 | | |
|EPSDT, Physician, other services | | | | |
MEDICAID ADVISORY COMMITTEE MONTHLY STATE PLAN AMENDMENT REPORT
April 22, 2010
|STATE PLAN AMENDMENT |PURPOSE |SUBMITTED TO CMS |APPROVED |COMMENTS |
|10-05 |This amendment is being submitted to update services and revise the |03/30/10 | | |
|Ambulatory Surgery Services |payment methodologies related to Ambulatory Surgery services and to | | | |
| |comply with the Deficit Reduction Act of 2005 | | | |
|10-06 |To provide for the extension of the Transitional Medical Assistance |03/30/10 | | |
|Transitional Medical Assistance |(TMA) Program by: 1) Providing up to 12 months of continuous TMA | | | |
|(TMA) |coverage to families and 2) Providing that individuals who no longer | | | |
| |qualify due to job-related income, must have been eligible for | | | |
| |Medical Assistance for 3 of the 6 preceding six months in order to be| | | |
| |eligible for TMA. | | | |
|10-07 |To match resource limits for individuals eligible for the full |03/31/10 | | |
|QMB/SLMB |Low-Income Subsidy program benefits under Medicare Part D with those | | | |
| |allowed for individuals who are also eligible for Medical Assistance | | | |
| |eligibility under the QMB/SLMB programs, as required by the MIPPA | | | |
| |enacted 2008. | | | |
April 15, 2010
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