Standardizes the practice of utilizing the ICFIID cost reports from two years prior in setting the current SFY rates (e.g., CY 2010).

Separates the reimbursement of behavioral care units (BCUs) from the routine nursing facility reimbursement system.

Excludes barbiturates "used in the treatment of epilepsy, cancer, or a chronic mental health disorder" and benzodiazepines in Part D drug coverage.

This SPA was submitted to reflect an increase to some Durable Medical Equipment rates due to a legislative budget adjustment in SB 5701-A.

Removes the Chronic Disease Management Pay-for-Performance program.

Adds an option to FQHC clinics to receive an Alternate Payment Methodology (APM) for reimbursement.

Implements a 1915(b) waiver and Pre-Paid Ambulatory Health Plan (PAHP) managed care service delivery system.

Request to review the definition of Mental Health Professional.

Adds Optional Outpatient Behavioral Health Provider Certification by Oklahoma Department of Mental Health and Substance Abuse Services Board.

Targets Case Management services.