FY 2011 SPA SUBMISSION

MAC Report: May 2012

STATE PLAN AMENDMENT / Section / Pages Impacted / PURPOSE / SUBMITTED TO CMS / APPROVED
11-14
Separation of Reimbursement Sections (4.19A) / Attachment 4.19A (NEW)
Delete from 4.19A&B
Update 3.1A Inpatient, institutional, outpatient
Add to 4.19B / To update the State plan to be consistent with CMS required format of separating inpatient / institutional reimbursement sections from outpatient / professional services. This amendment requires additional updating of all related service sections and are updated to reflect current practices and methods of reimbursement. / 9/28/2011
Splitting SPA into two sections pending
11-19
Tobacco / 3.1A Page 16A-1 (NEW)
4.19B Page 1-A (NEW) / To add language specific to provision of tobacco cessation services for pregnant women in accordance with the Affordable Care Act Section 4107, 1905(a)(4)(D). / 9/29/2011 / RAI issued: CMS evaluating
States concerns
12-01
AVS
(Eligibility) / Supplement 16 to Att 2.6A pages 1-3 (NEW) / To provide for an Asset Verification System / 3/13/2012 / 4/26/2012
EFFECTIVE
7/1/2012
12-02
DME/DMS & Oxygen & clinic & Outpatient Mental Health / NEW: 3.1A p.8C and 4.19B: 36-38C
3.1A: 22 (91-16); 22A (Orig 1984); 22B (04-17), 27 (11-16); 28 (91-16); 29C-9 to 29C-12(04-25); 32 (91-16); 32A (89-08); 32B,C,C-1, 32D, 32D-1, 32E, 32F, 32G (92-20);33, 33A (91-16); 33B (85-02); 33C (84-07)
Delete 4.19A&B page 11 (06-11) / To update SPA pages to reflect current practices for medical supply and clinic services and reimbursement. / 3/28/2012
Initial informal comments received 5/16
12-03 / Section 1: page 36 (89-13) and NEW:Att 4.5 pp 1-2 / To provide assurance of compliance with the Federal regulations at 42 CFR 455 Subpart E. / 3/28/2012 / (in clearance with CMS)
12-04
Clean up / Att 3.1A 23-C-G (09-08)
Supplement 4 to Att 3.1A 11-24 (08-10); Att 4.19A&B 25 (91-16) and 26 (90-05); Att 4.19A&B 47 (03-05) 48 (98-01) 50, 50-1 (92-23); Att 4.19D 22-27 (07-01) / To remove obsolete plan pages and those that are no longer needed for space in the plan. / 4/26/12