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On October 8, 2019, the Centers for Medicare & Medicaid Services approved the Oregon State Plan Amendment (SPA) Transmittal Number OR 19-0006, effective October 25, 2018. This SPA authorizes the state to take advantage of the exception in Section 1012 of the SUPPORT Act to the Institutions for Mental Disease (IMD) exclusion for services to pregnant and postpartum women outside of an IMD . . .

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