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Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsSeptember 2014

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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 Payment for Primary Care, specifically, Additional Codes Eligible for Enhanced Primary Care Payments. 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 July 2014 Delaware Register of Regulations, requiring written materials and suggestions from the public concerning the proposed regulations to be produced by July 31, 2014 at which time the Department would receive information, factual evidence and public comment to the said proposed changes to the regulations.
42 CFR 447.405, Amount of required minimum payments
42 CFR 447.410, State plan requirements
42 CFR 447.415, Availability of Federal financial participation (FFP)
We endorse the proposed regulation since it is designed to conform to CMS guidance.
Agency Response: DMMA thanks both Councils for their endorsement.
THEREFORE, IT IS ORDERED, that the proposed regulation to amend Delaware Title XIX Medicaid State Plan regarding Increased Medicaid Payment for Primary Care, specifically, Additional Codes 99481, 99482 and 90673 Eligible for Enhanced Primary Care Payments, is adopted and shall be final effective September 10, 2014.
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).
99408 - Added October 10, 2010 90673 - Added January 1, 2014
99409 - Added October 10, 2010 99481 - Added January 1, 2014
99224 - Added January 1, 2011 99482 - Added January 1, 2014
Medicare Physician Fee Schedule rate as implemented by the state and using the 2009 conversion factor.
State regional maximum administration fee set by the Vaccines for Children program.
Last Updated: December 31 1969 19:00:00.
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