Tuesday, April 7, 2015

State Plan Amendment Regarding Payment to Rural Health Clinics for Contraception Devices

State Plan Amendment Regarding Payment to Rural Health Clinics for Contraception Devices

Effective April 1, 2015, the Colorado Department of Health Care Policy and Financing intends to submit a State Plan Amendment (SPA) to amend the reimbursement method for Rural Health Clinics for long-acting reversible contraceptives (LARC) which include: implantable and intraeuterine contraceptive devices. This reimbursement shall be separate from any encounter payment the RHC's may receive for the insertion procedures. Reimbursement for LARCs and for the permanent non-surgical transcervical contraceptive devices shall be at the actual acquisition cost (such as with 340b drug discount pricing) or the rate on the Department's practitioner fee schedule, whichever is applicable.

The Department is requesting authority from the Centers for Medicare and Medicaid Services (CMS) to make this change effective April 1, 2015.

General Information

A link to this notice will be posted for 60 days on the Department's web site (www.colorado.gov/hcpf) starting on March 25, 2015. Written comments may be addressed to: Director, Health Programs Office, Department of Health Care Policy and Financing, 1570 Grant Street, Denver, CO 80203)