Traditional and ABP SPA Public Notice Michigan Department of Health and Human Services Medical Services Administration Pediatric Intensive Feeding Services 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 update the state plan language with coverage parameters for outpatient pediatric intensive feeding program services and a corresponding alternative benefit plan (ABP) SPA. The anticipated effective date for the Pediatric Intensive Feeding Services SPAs is January 1, 2018. The SPAs propose coverage of the medically necessary services of a multi-disciplinary team of medical and behavioral health professionals provided within an MDHHS-approved comprehensive, onsite, day treatment program to address complex feeding and swallowing difficulties. Reimbursement is a bundled payment rate based on the covered services provided by the multidisciplinary team. The service is reimbursed as a daily rate comprised of all costs associated with the services provided within the program. 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 SPAs are budget neutral with no predicted gross cost to the State of Michigan. There is no public meeting scheduled regarding this notice. Any interested party wishing to request a written copy of the SPAs 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 September 30, 2017. A copy of the proposed State Plan Amendments will also be available for review at http://michigan.gov/mdhhs/0,5885,7-339-73970_5080-108153--,00.html.
