Medicaid State Plan Amendments

This amendment proposed to create a new reasonable classification of medically needy individuals under age 21.

This amendment proposed to confirm its methodology for determining household income.

This plan amendment accounts for new, amended, and/or deleted Healthcare Common Procedure Code System (HCPCS) codes on the Ohio Department of Medicaid (ODM) fee schedules.

This amendment updates the qualifications and duties of Child Care Coordination (CCS) providers.

This amendment provides technical updates to clarify coverage of Behavioral Health Treatment under the Early and Periodic
Screening, Diagnostic and Treatment (EPSDT) benefit and updates who can supervise paraprofessionals.

This amendment reinstate Prior Authorization Request (PAR) requirements for Long Term Home Health Services effective at the end of Maintenance of Effort (MOE) requirements for the American Rescue Plan Act (ARPA).

This plan amendment updates the Nursing Facility Rate increases to property rates for four nursing facilities.

This amendment updates the community health worker and community health representative provider qualification language and establish hard limitations on services under the preventative benefit.

This amendment adds a Recovery Audit Contractor (RAC) Exemption for a period of two years beginning July 1, 2024.

This amendment add to bar liable third-party payers from refusing to reimburse the Medicaid program for an item or service solely on the basis of no prior authorization.