The effect of the rule changes will be to update to current coding manuals; update the dental limit for nonemergency services; clarify the podiatry services reimbursement rate; update podiatric coverage to account for metabolic, neurologic or peripheral vascular disease coverage; clarify personal care services provider level determinations; update an age limit to align with school district services coverage; repeal obsolete rules regarding case management which are more appropriately detailed in the coverage and reimbursement chapter of community mental health center (CMHC); update “diabetes education program” terminology to “diabetes self-management training” and clarify diabetes education coverage; update language to allow an Independent Mental Health Practitioner (IMHP) to provide medically necessary treatment with a provisional mental diagnosis to align coverage with CMHC; update substance use disorder definitions; and to changes the ICAP assessment requirements from every 3 years to annually.
No specific cites listed — see the package documents.