2024
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 9/19/2024
Final Date: 9/19/2024
Effective Date: 9/19/2024 Withdrawal Date:
Rule: Title 23: Medicaid, Part 209: Durable Medical Equipment, Medical Appliances and Medical Supplies, Chapter 2: Medical Supplies, Rule 2.5: Diabetic Supply Rebate Program Summary: This Administrative Code is being submitted to establish a diabetic supply rebate program to correspond with SPA 24-0014 Diabetic Supplies (effective 07/01/2024).
System Number: 27690
Notice | Full Text
2021
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 09/02/2021 Final Date: 09/02/2021
Effective Date: 09/02/2021 Withdrawal Date:
Rule: Title 23: Division of Medicaid, Part 200: General Provider Information, Chapter 4: Provider Enrollment, Rule 4.2: Conditions of Participation
Summary: This Administrative Code is being filed to require providers to provide a thirty (30) day written notice to beneficiaries and the Division of Medicaid prior to the discontinuation of services. If a provider fails to provide the notice, the provider will not be reimbursed for the thirty (30) day period the beneficiary and Division of Medicaid should have been notified. This rule will not apply if the failure to provide notice was due to circumstances outside of the provider’s control. This is an emergency filing due to the risk to public health due to a sudden stoppage of services to beneficiaries that require high levels of care.
System Number: 25856
Notice | Full Text
2020
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 10/09/2020 Final Date: 10/09/2020
Effective Date: 10/09/2020 Withdrawal Date:
Rule: Title 23: Medicaid, Part 225: Telemedicine, Chapter 2: Remote Patient Monitoring Services, Rule 2.3: Covered Services
Summary: This Administrative Code is being emergency filed to provide immediate coverage for Remote Patient Monitoring for all chronic diseases as defined by the Centers for Medicare and Medicaid Services (CMS), as well as sickle cell in compliance with state law. This is being emergency filed to allow for emergency coverage during the PHE as well as going forward in compliance with state law.
System Number: 25168
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 9/21/20 Final Date: 9/21/20
Effective Date: 9/21/20 Withdrawal Date:
Rule: Title 23: Medicaid, Part 223: Early and Periodic Screening, Diagnosis and Treatment, Chapter 4, 5, Rules 4.2 and 5.2
Summary: This Administrative Code filing 1) removes the one year of experience requirement and 2) renames the proposal packet
System Number: 25134
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 09/02/2020 Final Date: 09/02/2020
Effective Date: 09/02/2020 Withdrawal Date:
Rule: Title 23: Medicaid, Part 206: Mental Health Services, Chapter 1: Community Mental Health Services, Rule 1.4: Day Programs
Summary: This Administrative Code filing is being filed in response to the Public Health Emergency. This filing will limit the amount of individuals in attendance for Day Treatment, in accordance with DMH Operational Standards.
System Number: 25094
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 04/17/2020 Final Date: 04/17/2020
Effective Date: 04/17/2020 Withdrawal Date:
Rule: Title 23: Medicaid, Part 206: Mental Health Services, Rules: 1.2-1.5, 2.2
Summary: Due to COVID-19, removal of requirement for signature of supervisor on documentation of all services provided by provisionally credentialed mental healthcare professionals in a community mental health center setting; removal of IQ requirement for MYPAC eligibility. Removing Day Support Services as this is no longer a reimbursable service.
System Number: 24838
Notice | Full Text
The following Administration Code was filed with the Secretary of State’s Office on March 30, 2020, to be effective immediately on March 30, 2020:
Rule: Title 23: Medicaid, Part 214, Chapter 1, Rule 1.12
Summary: This proposed Admin. Code filing adds verbiage regarding beneficiary signature requirements for prescription drug delivery during a national or statewide emergency.
System Number: 24814
Notice | Full Text
The following Administration Code was filed with the Secretary of State’s Office on March 30, 2020, to be effective immediately on March 30, 2020:
Rule(s): Title 23: Medicaid, Part 209, Chapter 1, Rules 1.9, 2.1, 2.2 Summary: This proposed Admin. Code filing adds verbiage regarding beneficiary signature requirements for DME and/or medical supplies delivery during a national or statewide emergency, effective March 30, 2020.
System Number: 24815
Notice | Full Text
Agency: DIVISION OF MEDICAID
Compilation: No
Proposed Date: 03/20/2020 Final Date: 03/20/2020
Effective Date: 03/20/2020 Withdrawal Date:
Rule: Title 23: Medicaid, Part 225, Chapter 1, Rules 1.1 – 1.7
Summary: This proposed Admin. Code (1) introduces a new rule (1.7) to allow for enhanced usage of telehealth services during an emergency, (2) includes language clarifying definitions and reimbursement methods, and (3) provides updated guidance regarding eligible distant sites.
System Number: 24796
Notice | Full Text
