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State Plan Amendments

2009

AFC/HA Personal Care Services Reimbursement. (08-12) approved

Census Income Disregard (08-13) approved

Elimination of Optional Services (09-15) submitted

GME Innovations Pool Partnership Update (08-02) approved

IMD- DSH Pool (09-16) submitted

IPH - $5 million DSH Pool (09-04) submitted

Maternal Infant Health Program (09-07) submitted

Pharmacy Dispensing Fee Decrease (09-14) submitted

Reimbursement - Hearing Aids Volume Purchase (09-02) submitted

Services/Reimbursement - Special Health Care Needs Facilities (09-09) submitted

2008

Continue Medicaid coverage for children aging out of the Foster Care Program. (07-13)approved

Cooperation with Medicaid Integrity Program Efforts. (08-05)approved

Drug Product Reimbursement. (07-14)approved

EPSDT & Other Medical Care Services Profided by School Districts - Coverage and Reimbursement. (07-03)submitted

Estate Recovery (07-21) submitted

GME payment schedule (07-10) approved

IPH Reimbursement - DRG Rebasing and Grouper 25 Update. (08-03)(Approved)

Methods and Standards for Establishing Payment Rates - Inpatient Hospital Care (08-01) submitted

(08-01)Withdrawn

Michigan Business Tax name change. (08-04) Approved

Nursing Facility QAAP Payments. (07-19) submitted

Nursing facility reimbursement-Facility innovative design supplemental program. (07-17)Approved

OPHP psoriasis treatment centers. (07-16)approved

Pharmacy rebate agreements: incorporating recent modifications to the National Medicaid Pooling Initiative. (07-18) approved

Rural Health Clinic Services (07-16)submitted

Targeted Case Mangement (08-006)submitted

Targeted Case Management 08-007)submitted

Targeted Case Management 08-008)submitted

Targeted Case Management 08-009)submitted

Targeted Case Management 08-010)submitted

2007

Allowability of Home Equity Maximum Amounts for LTC Assistance Eligibility.(07-09)Submitted

Annual Quality Assurance Supplement Payment Reconcilliation. (07-07) Approved

IPH Payment reductions. (07-12) Approved

Audiologists - Licensing Requirement. (06-19)Approved

Authorization Thresholds-Personal Care Services. (06-22) Approved

Children (Income - 150%FPL)(06-23)Withdrawn

Eligibility - Transfer of Assets.(07-08) Approved

Employee Education - False Claims Act (07-06)Approved

ER Co-pay (06-18) Disapproved

GME Payment Schedule (07-10)Approved

GME Pools (06-21)Approved

Government Provider DSH Pool (06-20)Approved

Inpatient Hospital DSH Pools (07-15)Approved

Inpatient Hospital Reimbursement - DRG Grouper (24.0) update(07-04)Submitted

LTC Provider Appeals Process. Approved (07-11)

Outpatient Hospital Laboratory Services.(07-02)Approved

Outpatient Hospital Reimbursement.(06-01)Approved

Outpatient Prospective Reimbursement System (OPPS)(07-01) Approved

Personal Care Services in the Workplace. (06-16)Approved

Pharmacy dispensing fee.(06-13)Withdrawn

Prescriptive authority-therapy. (06-17)Approved

Requirements for Third Party Liability (07-05)Approved

2006

State Laboratory Reimbursement. (06-009)

Reinserting IPH aproved IPH Reimbursement Language. (06-12)

MDCH/Office of Administrative Hearing and Rules cooperative agreement.(06-07)approved

Eliminates separate Rx coverage in hospital long term care units. (05-20)

Expand providers eligible to receive reimbursement for Synagis to include enrolled pharmacies. (05-08)

Expansion of services subject to cost-sharing. (05-14)

Mail Order Pharmacy Reimbursement (05-03)

2005

Access To Care - Outpatient Therapy and Audiology Services (05-06)

Expand Allowable Involuntary Disenrollment Reasons--Effective January 1, 2005 (05-01)

Hearing Aids (04-18)

Hospital DRG Rebasing (05-10)

Lab Services and Hearing Aid Reimbursement--Effective January 1, 2005 (05-02)

LIF Eligibility - Asset Disregard (05-04)

Long Term Care Facility and Hospice Reimbursement for Hospital and Therapeutic Leave Days--Effective Date January 1, 2005 (05-07)

Long Term Care Proportionate Share Pool Payment Sunset Provision (04-12)

Michigan State Plan Amendment (05-09)

Nursing Facility Certification (04-19)

Optional Services (04-15)

Pharmacy Co-Pay (04-14)

Presumptive Eligibility for Children and Pregnant Women (05-05)

Reduction of Pharmacy Dispensing Fee (04-13)

Vaccine Replacement Program (04-17)

2004

Inpatient Hospital Reimbursement (04-04)

MACI (taxi-related payments) (04-05)

Personal Care Services & Hospital Emergency Services (04-08)

PACE Capitation Rate Development Procedures (04-11)

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