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Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsFebruary 2016

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Delaware Health and Social Services ("Department") / Division of Medicaid and Medical Assistance (DMMA) initiated proceedings to amend the Delaware Title XIX Medicaid State Plan regarding Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Services, addressing Inpatient Psychiatric Hospital Services for Individuals under Age 21, specifically, coverage and reimbursement methodology for psychiatric residential treatment facilities (PRTFs). The Department's proceedings to amend its regulations were initiated pursuant to 29 Del.C §10114 and its authority as prescribed by 31 Del.C §512.
The Department published its notice of proposed regulation changes pursuant to 29 Del.C §10115 in the November 2015 Delaware Register of Regulations, requiring written materials and suggestions from the public concerning the proposed regulations to be produced by December 1, 2015 at which time the Department would receive information, factual evidence and public comment to the said proposed changes to the regulations.
Section 1905(r) of the Social Security Act, Early and Periodic Screening, Diagnostic, and Treatment Services
Section 1905(a)(16), Inpatient Psychiatric Hospital Services for Individuals under Age 21
42 CFR §441 Subpart B, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) of Individuals under Age 21
42 CFR §440.60, Medical or other remedial care provided by licensed practitioners
42 CFR §440.130, Diagnostic, screening, preventive, and rehabilitative services
42 CFR §447.205, Public notice of changes in statewide methods and standards for setting payment rates
State Medicaid Manual, Section 5010, Early and Periodic Screening, Diagnostic, and Treatment Services
In accordance with the federal public notice requirements established at Section 1902(a)(13)(A) of the Social Security Act and 42 CFR 447.205 and the state public notice requirements of Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) gives public notice and provides an open comment period for thirty (30) days to allow all stakeholders an opportunity to provide input to the methods and standards governing payment methodology for the rehabilitative inpatient psychiatric hospital services for individuals under age 21 benefit under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Comments were to be received by 4:30 p.m. on December 1, 2015.
Agency Response: DMMA thanks the Council for its endorsement. No change was made to the regulation as a result of this comment.
Provided: No limitations With limitations*
*See Attachment 3.1-A Page 2c Addendum, Item 4.b. - EPSDT
Not provided.
ATTACHMENT 4.19-A.3
ATTACHMENT 4.19-A.3.1
STATE: DELAWARE
(b) Inpatient and Partial Hospital Psychiatric Services – reimbursed on a per diem basis
(d) (b) School-Based Health Service (SBHS) Providers:
Last Updated: December 31 1969 19:00:00.
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