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NOTICE OF INTENT TO SUBMIT STATE PLAN AMENDMENT AND SOLICITATION OF PUBLIC INPUT The Idaho Department of Health and Welfare Division of Medicaid (Department) provides public notice of impending changes to the Idaho Medicaid State Plan and/or CHIP State Plan, as required by 42 C.F.R. § 447.205. The Department assures these changes are in compliance with 42 CFR§ 440.345, 42 CFR§ 440.386, 42 CFR§ 447.204, 42 CFR§ 447.205, 42 CFR§ 457.30, and with the provisions of section 5006(e) of the ARRA of 2009. Medicaid has solicited input from Idaho’s Tribal representatives regarding these changes in compliance with section 5006(e) of the American Recovery and Reinvestment Act of 2009 and its Tribal Consultation Policy. The Department also assures that individuals under twenty-one (21) years of age, pursuant to EPSDT, may receive additional services if determined medically necessary and prior authorized by the Department. PROPOSED CHANGES Idaho Medicaid intends to submit application to the Centers for Medicare and Medicaid Services (CMS) for a Title XIX and XXI State Plan Amendment (SPA) to update Section 4.22 regarding Medicaid Third Party Liability (TPL). Specific changes include: • The requirement to apply cost avoidance procedures to claims for prenatal services, including labor, delivery, and postpartum care services; • The requirement to make payments without regard to potential TPL for pediatric preventive services, unless the state has made a determination related to cost-effectiveness and access to care that warrants cost avoidance for ninety (90) days; and • Flexibility to make payments without regard to potential TPL for up to one hundred (100) days for claims related to child support enforcement beneficiaries. • Compliance with TPL for parties legally responsible through agreements or contracts to pay for care and services. These changes are required under both the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019 affecting the BBA of 2013. The effective date for these changes is January 1, 2022. ESTIMATE OF EXPECTED CHANGE IN ANNUAL AGGREGATE EXPENDITURES There is no expected increase or decrease in annual aggregate expenditures. PUBLIC REVIEW Copies of the proposed State Plan Amendment are available on the Department’s website at: https://healthandwelfare.idaho.gov/Medical/Medicaid/MedicaidPolicy/tabid/3543/Default.aspx. Unless otherwise specified, copies of the proposed State Plan Amendment are also available for public review during regular business hours at any Regional Medicaid Services office of the Idaho Department of Health and Welfare. LOCATIONS FOR PUBLIC REVIEW OF PROPOSED STATE PLAN AMENDMENT Ada County Gem County Southwest District Health, 1008 East Locust, Emmett, ID 83617 DHW Region 4, 1720 Westgate Drive, Boise, ID 83704 Gooding County Central District Health Department, 707 North Armstrong Place, Boise, ID 83704 South Central Public Health, 255 North Canyon Drive, Gooding, ID 83330 Adams County Idaho County Adams County Clerk’s Office, 201 Industrial Avenue, Council, ID 83612 DHW Region 2, Camas Resource Center, 216 South C Street, Grangeville, ID 83530 Bannock County North Central Health District, 903 W Main, Grangeville, ID 83530 DHW Region 6, 1070 Hiline, Pocatello, ID 83201 Jefferson County Southeastern Idaho Public Health, 1901 Alvin Ricken Drive, Pocatello, ID 83201 Eastern Idaho Public Health, 380 Community Lane, Rigby, ID 83442 Bear Lake County Jerome County Southeastern Idaho Public Health, 455 Washington, Suite #2, Montpelier, ID 83254 South Central Public Health, 951 East Avenue H, Jerome, ID 83338 Benewah County Kootenai County Panhandle Health District, 137 N 8th Street, St Maries, ID 83861 DHW Region 1, 1120 Ironwood Drive, Coeur d’Alene, ID 83814 Bingham County Panhandle Health District, 8500 N. Atlas Road, Hayden, ID 83835 DHW Region 6, 701 East Alice, Blackfoot, ID 83221 Latah County Southeastern Idaho Public Health, 145 W Idaho Street, Blackfoot, ID 83221 DHW Region 2, 1350 Troy Highway, Moscow, ID 83843 Blaine County North Central Health District, 333 E Palouse River Drive, Moscow, ID 83843 South Central Public Health, 117 East Ash Street, Bellevue, ID 83313 Lemhi County Boise County DHW Region 7, 111 Lillian Street, Suite 104, Salmon, ID 83467 Boise County Clerk’s Office, 420 Main Street, Idaho City, ID 83631 Eastern Idaho Public Health, 801 Monroe, Salmon, ID 83467 Bonner County Lewis County DHW Region 1, 207 Larkspur Street, Ponderay, ID 83852 North Central Health District, 132 N Hill Street, Kamiah, ID 83536 Panhandle Health District, 2101 W. Pine Street, Sandpoint, ID 83864 Lincoln County Bonneville County South Central Public Health, Lincoln County Community Center, 201 South Beverly St., Shoshone, ID 83352 DHW Region 7, 150 Shoup Avenue, Idaho Falls, ID 83402 Madison County Eastern Idaho Public Health, 1250 Hollipark Drive, Idaho Falls, ID 83401 DHW Region 7, 333 Walker Drive, Rexburg, ID 83440 Boundary County Eastern Idaho Public Health, 314 North 3rd East, Rexburg, ID 83440 Panhandle Health District, 7402 Caribou Street, Bonners Ferry, ID 83805 Minidoka County Butte County South Central Public Health, 485 22nd Street, Heyburn, ID 83336 Southeastern Idaho Public Health, 178 Sunset Drive, Arco, ID 83213 Nez Perce County Camas County DHW Region 2, 1118 F Street, Lewiston, ID 83501 Camas County Clerk’s Office, 501 Soldier Road, Fairfield, ID 83327 North Central Health District, 215 10th Street, Lewiston, ID 83501 Canyon County Oneida County DHW Region 3, 3402 Franklin Road, Caldwell, ID 83605 Southeastern Idaho Public Health, 175 South 300 East, Malad, ID 83252 Southwest District Health, 13307 Miami Lane, Caldwell, ID 83607 Owyhee County Caribou County Southwest District Health, 132 E. Idaho, Homedale, ID 83628 Southeastern Idaho Public Health, 55 East 1st South, Soda Springs, ID 83276 Payette County Cassia County DHW Region 3, 515 N. 16th Street, Payette, ID 83661 DHW Region 5, 2241 Overland Avenue, Burley, ID 83318 Southwest District Health, 1155 Third Avenue North, Payette, ID 83661 Clark County Power County Eastern Idaho Public Health, 332 West Main, Dubois, ID 83423 Southeastern Idaho Public Health, 590 1/2 Gifford, American Falls, ID 83211 Clearwater County Shoshone County North Central Health District, 105 115th Street, Orofino, ID 83544 DHW Region 1, 35 Wildcat Way, Suite B, Kellogg, ID 83837 Custer County Panhandle Health District, 114 Riverside Avenue W, Kellogg, ID 83837 Eastern Idaho Public Health, 1050 N. Clinic Road, Suite A, Challis, ID 83226 Teton County Elmore County Eastern Idaho Public Health, 820 Valley Centre Drive, Driggs, ID 83422 DHW Region 4, 2420 American Legion Blvd., Mountain Home, ID 83647 Twin Falls County Central District Health Department, 520 E. 8th Street N, Mountain Home, ID 83647 DHW Region 5, 601 Pole Line Road, Twin Falls, ID 83301 Franklin County South Central Public Health, 1020 Washington Street North, Twin Falls, ID 83301 DHW Region 6, 223 North State, Preston, ID 83263 Valley County Southeastern Idaho Public Health, 50 West 1 St. South, Preston, ID 83263 Central District Health Department, 703 1st Street, McCall, ID 83638 Fremont County Washington County Eastern Idaho Public Health, 45 South 2nd West, St. Anthony, ID 83445 Southwest District Health, 46 West Court, Weiser, ID 83672 PUBLIC COMMENT The Department is accepting written and recorded comments regarding the proposed SPA for a period of at thirty (30) calendar days. Any persons wishing to provide input may submit comments. Comments must be received by the Department within thirty (30) days of the posting of this notice, and must be sent using one of the following methods: • Send Email Comments To: MCPT@dhw.idaho.gov • Call and Leave Recorded Comments At: 1-208-364-1887 • Send Fax Comments To: 1-208-287-1170 • Mail Comments To: Medicaid Central Office, Idaho Department of Health and Welfare, PO Box 83720, Boise, ID 83720-0036 Attn: Medicaid Policy Team • Hand Deliver Comments During Regular Business Hours (M-F from 8AM to 5PM, except holidays) To: Medicaid Central Office, Idaho Department of Health and Welfare, 3232 Elder Street, Boise, ID 83705 Attn: Medicaid Policy Team The Department will review all comments received prior to submitting the SPA to CMS. PUBLIC HEARING No public hearings have been scheduled at this time. QUESTIONS For technical questions or to review the changes, call the Medicaid Policy Team at (208) 364-1887, or e-mail the request to MCPT@dhw.idaho.gov.