Public Notice Michigan Department of Health and Human Services Medical Services Administration CMS Rule 2348-F and Other Home Health Related State Plan Amendment Requests The Michigan Department of Health and Human Services (MDHHS) plans to submit a State Plan Amendment (SPA) request to the Centers for Medicare & Medicaid Services (CMS). The request includes a SPA to implement CMS Rule 2348 to assist with improved access to home health care, durable medical equipment under home health services, the reinstatement of hearing aid coverage for beneficiaries over the age of 21 and other home health changes. The anticipated effective date for the CMS Rule 2348-F and Other Home Health Related SPA is July 1, 2018 pending CMS approval. CMS Rule 2348-F improves access to home health and durable medical equipment services by expanding coverage of services/devices beyond the person's home and include services/devices in the community setting. In addition, home health aide services are no longer contingent upon the provision of skilled nursing or therapy services. The rule requires MDHHS to reinstate hearing aid coverage for Medicaid beneficiaries age 21 and older, including beneficiaries enrolled in Medicaid Health Plans and Integrated Health Organizations. In compliance with 42 CFR § 440.345, individuals under 21 years of age receiving Medicaid benefits will continue to have access to services within the full early and periodic screening, diagnosis and treatment (EPSDT) benefit as defined in Section 1905(r) of the Social Security Act. The estimated gross cost to the State of Michigan for the State Plan Amendment is approximately $2.1 million per year. Costs associated with the hearing aid benefit is included in the Home Health SPA. There is no public meeting scheduled regarding this notice. Any interested party wishing to request a written copy of the SPA or wishing to submit comments may do so by submitting a request in writing to: MDHHS/Medical Services Administration, Program Policy Division, PO Box 30479, Lansing MI 48909-7979 or e-mail MSADraftPolicy@michigan.gov by May 24, 2018. A copy of the proposed State Plan Amendment will also be available for review at http://michigan.gov/mdhhs/0,5885,7-339-73970_5080-108153--,00.html
