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Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsMay 2013

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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 increased Medicaid payments for designated primary care services. The Department's proceedings to amend its regulations were initiated pursuant to 29 Delaware Code Section 10114 and its authority as prescribed by 31 Delaware Code Section 512.
The Department published its notice of proposed regulation changes pursuant to 29 Delaware Code Section 10115 in the March 2013 Delaware Register of Regulations, requiring written materials and suggestions from the public concerning the proposed regulations to be produced by March 31, 2013 at which time the Department would receive information, factual evidence and public comment to the said proposed changes to the regulations.
Pursuant to 42 CFR §447.205, the Division of Medicaid and Medical Assistance (DMMA) is required to give public notice of any significant proposed change in its method and standards for setting payment rate for services. On December 22, 2012 in the News Journal and on December 21, 2012 in the Delaware State News, DMMA issued public notice of its intent to submit a Medicaid State Plan amendment to implement the provisions of Section 2012 of the Affordable Care Act.
Agency Response: DMMA thank the Councils for the endorsement.
THEREFORE, IT IS ORDERED, that the proposed regulation to amend Delaware Title XIX Medicaid State Plan regarding increased Medicaid payments for designated primary care services is adopted and shall be final effective May 10, 2013.
STATE: DELAWARE
The rates do not reflect site of service adjustments, but reimburse at the Medicare rate applicable to the office setting.
STATE: DELAWARE
The state has adjusted its fee schedule to make payment at the higher rate for each E&M and vaccine administration code.
This payment applies to all Evaluation and Management (E&M) billing codes 99201 through 99499.
[The State did not make payment as of July 1, 2009 for the following codes and will not make payment for those codes under this SPA (specify codes). (To Be Determined) ]
STATE: DELAWARE
[ The State did not make payment as of July 1, 2009 for the following codes and will not make payment for those codes under this SPA (specify codes).
STATE: DELAWARE
The state will make payment under this SPA for the following codes which have been added to the fee schedule since July 1, 2009 (specify code and date added). [(To Be Determined)
State regional maximum administration fee set by the Vaccines for Children program
[ Rate using the CY 2009 conversion factor]
STATE: DELAWARE
A single rate was in effect on 7/1/09 for all vaccine administration services, regardless of billing code. This 2009 rate is: $8.00 (eight dollars).
STATE: DELAWARE
Last Updated: December 31 1969 19:00:00.
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