Proposes a change to the long-term care regional wage adjustor.

Updates the physician office and outpatient fee schedule by restructuring the payment methodology for pediatric medical providers who apply fluoride varnish to the teeth of Medicaid members and expands the age range of individuals who can receive an oral assessment and/or application of fluoride varnish by a pediatric medical provider.
 

Amends the provisions governing the reimbursement methodology for outpatient hospital services in order to adjust the reimbursement rates.
 

The proposed amendment updates the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.
 

Restores coverage for certain optional benefits such as optometric and opticians’ services, audiology services, speech therapy services, podiatric services and incontinence creams and washes.  This SPA also removes the monthly two-visit limit for services by podiatrists.
 

Payment for Services: Outpatient Hospital Cost Coverage Add-On