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GA Adjustment
Department of Medical Assistance Services (602)
Request Title Medicaid Reimbursement for Long-acting Injectables for Substance Use Disorder (288 #12c)
Biennium 2024-2026
Budget Round Amended Bill
Half Sheet Number 288 #12c
Description

This amendment adds $142,593 from the general fund and $428,713 from nongeneral funds the second year to modify Medicaid reimbursement for long-acting injectable or extended release medications administered in an any hospital emergency department or hospital inpatient setting for substance use disorder. The payment will be unbundled from the hospital daily rate. The introduced budget provides funding and language to unbundle these payments only when administered for a serious mental illness. This language extends this provision for cases of substance use disorder.

Funding Details
By Program Program Code Program Title FY 2024 FY 2025
  446 Children'S Health Insurance Program Delivery $0 $4,965
  456 Medicaid Program Services $0 $564,162
  466 Medical Assistance Services For Low Income Children $0 $2,179
By Fund Fund Code Fund Title FY 2024 FY 2025
  01000 General Fund $0 $142,593
  09780 Healthcarecoverageassmntfund $0 $28,087
  10000 Federal Trust $0 $400,626
Authorized Position Details
By Program Program Code Program Title FY 2024 FY 2025


p3_opview - Official Enacted Budget View Operating Bullet Details - 06-21-2025 06:44:31