Page 83

TEAMKY Demonstration

Approval Period: January 1, 2025 through December 31, 2029

Page 82 of 155 121. Unallowable Expenditures Under the SMI Expenditure Authority. In addition to the other unallowable costs and caveats already outlined in these STCs, the state may not receive FFP under any expenditure authority approved under this demonstration for any of the following:

a) Room and board costs for residential treatment service providers unless they qualify as inpatient facilities under section 1905(a) of the Act.

b) Costs for services furnished to beneficiaries who are residents in a nursing facility as defined in section 1919 of the Act that qualifies as an IMD.

c) Costs for services furnished to beneficiaries who are involuntarily residing in a psychiatric hospital or residential treatment facility by operation of criminal law.

d) Costs for services provided to beneficiaries under age 21 residing in an IMD unless the IMD meets the requirements for the “inpatient psychiatric services for individuals under age 21” benefit under 42 CFR 440.160, 441 Subpart D, and 483 Subpart G. XVI. SCHEDULE OF DELIVERABLES FOR THE DEMONSTRATION PERIOD