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SPA 18-0020 Physician Visit Limit Increase submitted to CMS

State Plan Amendment (SPA) 18-0020 Physician Visit Limit Increase has been submitted to allow the Division of Medicaid to increase the physician office and outpatient hospital visit limit from twelve (12) to sixteen (16) per state fiscal year for both psychiatric and non-psychiatric services.  These are two (2) separate service limits and both will be increased, effective January 1, 2019, pending approval by the Centers for Medicare and Medicaid Services (CMS).

For more information, read the draft SPA pages.