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State Plan Amendments

2012

GME Funds Pool. (11-16) submitted

Medicaid RAC-Exception to the Implementation Date March 31, 2012. (11-13) approved

Michigan Business Tax to the Corporate Income Tax (Name Change). (11-12) submitted

Nursing Facility Rate Relief. (11-15) submitted

PACE Rates Revised. (11-02) approved

Physician Adjustor Program. (11-14) submitted

Public Clinic Services. (11-04) approved

2011

Addition of Public Entity (Oakland University) to Physician Adjustor Program. (10-21) approved

Addition of Registered Dental Hygienists as Enrolled Providers in the Michigan Medicaid Program. (10-05) submitted

Ambulatory Surgical Centers - Reimbursement. (10-12)submitted

Asset Verification System (AVS). (11-5)approved

Brokered Non-Emergency Transportation. (10-10) approved

Changes to the Medicare Savings Program. (10-20) approved

DSH Pool Modification. (11-10) submitted

DSH Redistribution. (11-11) submitted

EPSDT Blood Lead Investigations. (10-25) submitted

Estate Recovery Program. (10-018) approved

Freestanding Birth Centers. (11-03) approved

GME Payment Schedule. (10-22) approved

Health Care Acquired Conditions & Provider Preventable Conditions. (11-08) submitted

IPH DRG Reimbursement-Version 28.0 Grouper Rebasing. (11-6) approved

Quality Assurance Assessment Program (QAAP) supplement payment reconciliation. (11-9) submitted

Medicaid Prohibition on Payments to Institutionsor Entities Located Outside of the United States.(11-01) approved

Medicaid Recovery Audit Contractor Program. (10-23) approved

The Michigan Title XIX State Plan has been amended to indicate that Michigan Medicaid does not cover services for freestanding birth centers. (11-03) submitted

Reimbursement for Services Provided in Ambulatory Surgical Center. (10-012) approved

Reinstatement of Optional Services (Adult Benefit, Low Vision, and Podiatry). (10-24) submitted

Revised Deemed Newborn Preprint Pages. (10-11) approved

Tobacco Cessation Services for Pregnant Women. (11-7) approved

2010

Children's Outpatient Hospital Adjustor Pool. (10-04) approved

Clarification of Prior Authorization Requirements for Customized Wheelchairs for all Beneficiaries Regardless of Place of Residency. (10-09) approved

DSH Pool - Indigent Care Agreement Hospitals. (10-19) approved.

Elimination of Optional Services. (09-15) approved.

Estate Recovery (10-18) submitted.

Hospital DSH Pools - Small Hospital and Outpatient Uncompensated Care (10-14)approved

Hospice Coverage Conditions. (10-06) approved

IPH DRG Reimbursement Version 27.0. (10-03) approved

Nursing Facilities Complex Care - Rate Determination Conditions (09-18) approved

Payment of Pediatric Electrolytes as a Non-Pharmacy Item. (10-08) approved

Pharmacy Dispensing Fee Increase And Reimbursement For The Administration Of Vaccines - H1N1 And Seasonal Flu. (09-17) submitted

Physician Adjustor Program. (10-002) approved

Public Clinic Reimbursement (09-13) approved

Public Clinic Reimbursement (10-16) submitted

Quality Assurance Supplement Payment Reconciliation.(10-17) approved

Reduces Provider Fees.(09-20) approved

Remove ICF/MR Related Language From the State Plan. Michigan no longer has ICF's. (10-01) approved

Reserved Bed Payment - Limitation. (10-07) approved

Six Month Home Maintenance Disregard (09-19) approved

Tribal Consultation Requirements (10-13) approved

2009

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

Census Income Disregard (08-13) approved

Children's Outpatient Hospital Adjustor Pool. (09-12) approved

County Medical Care Facilities-Special Payments. (09-06) approved

Elimination of Optional Services (09-15) submitted

GME Innovations Pool Partnership Update (08-02) approved

Government Provider DSH Pool (09-11) approved

IMD- DSH Pool (09-16) approved

Indigent Care Agreement DSH Pool (09-10) approved

IPH - $5 Million DSH Pool (09-04) approved

IPH Reimbursement - Version 26.0 Grouper Update (09-01) approved

Maternal Infant Health Program (09-07) approved

Patient Pay Amounts for Purchase of Non-Covered Services. (09-03) approved

Pharmacy Dispensing Fee Increase (09-05) approved

Pharmacy Dispensing Fee Decrease (09-14) approved

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

Reimbursement - Personal Care Serivces (09-08) approved

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

2008

Annual Quality Assurance Supplement Payment Reconcilliation. (08-11) approved

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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