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Public Notice for SPA 20-0024 Physician Upper Payment Limit (UPL)

Pursuant to 42 C.F.R. Section 447.205, public notice is hereby given to the submission of a Medicaid State Plan Amendment (SPA). The Division of Medicaid, in the Office of the Governor, is submitting SPA 20-0024 Physician Upper Payment Limit (UPL). Effective January 1, 2021 and contingent upon approval from the Centers for Medicare and Medicaid Services (CMS), the Division of Medicaid will update the initial Medicare Equivalent of the average commercial rate (ACR) ratio.

For more information, read the public notice and draft pages.

Posted Dec. 1, 2020