The MO HealthNet Division posted the Medicaid state plan amendment for approval from the Centers for Medicare & Medicaid Services to convert Missouri Medicaid outpatient reimbursement from its present percent of billed charges methodology to the Medicaid-based “Simplified Outpatient Fee Schedule.” As posted, the proposed SPA would establish the fee schedule at 90% of the Medicare rate and use the St. Louis area wage index. A 40% add-on would be applied to critical access hospitals, and a 25% add-on would be applied to nominal charge hospitals.
MHA continues to advocate for changes to the state budget to increase the proposed fee schedule to 93.4% of Medicare (at the St. Louis Wage index) and a 25% add-on for children’s hospitals, in addition to the CAH and nominal charge add-ons in the state’s proposal.
Public comment is invited and must be received before Wednesday, May 5. Comments may be delivered in person, by mail or by courier to the following address.
MO HealthNet Division
615 Howerton Ct., 2nd Floor
Jefferson City, MO 65109
Attention: Jamie Purnell
Comments also may be emailed to ask.MHD@dss.mo.gov with “Public Comment for Outpatient Hospital Services” in the subject line.