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MS SPA 23-0025 MYPAC Coverage and Reimbursement submitted to CMS

State Plan Amendment (SPA) 23-0025 is being submitted to allow the Division of Medicaid (DOM) to revise rates to an hourly rate and a fifteen (15) minute add-on rate and remove rate freeze language. These rates are based on actuarial analysis of historical utilization, payment and cost data for Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) eligible beneficiaries served in the community that meet the Psychiatric Residential Treatment Facility (PRTF) level of care and the expected utilization of services. This SPA also revises the service components to align with the Department of Mental Health requirements, effective November 1, 2023.

For more information, read the proposed SPA pages.