The purpose of this SPA is to amend the state plan to allow nurse practitioners, clinical nurse specialists, and physician assistants to order and certify home health services.  

continues the application of a budget adjustment factor for private and non-state government owned nursing facilities

creates a bariatric rate for nursing facilities and establishes CNA staffing ratio requirements related to the facilities' bariatric census. 

This amendment establishes the annual aggregate limit and continues funding for supplemental, disproportionate share, and direct medical education payments. 

updates the performance standards, presumptive eligibility time period, application, and training material for hospital presumptive eligibility

NEMT Change in Reimbursement Methodology

provides for a two percent increase to the statewide average Medicaid Management Information Systems (MMIS) reimbursement rate.

Proposes to eliminate the reduction to the statewide base price for inpatient services

Changes the limit on Assessment and Treatment Plan Development from 1 unit per year to 2 units per year