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AZ-10-002

Eliminates the hospice benefit for acute care program members with the exception of children under EPSDT and Arizona Long Term Care System members under 1115 waiver authority.

AZ-10-003

Updates the amounts of Arizona s graduate medical education and indirect medical education payment pools and designates the qualifying teaching hospitals for each payment pool for the fiscal period.

AZ-10-006

Eliminates certain optional services and imposes limitations on other optional services for adults age 21 and older Specifically, this SPA eliminates podiatrists services preventive dental services and well and physical exams. This SPA also limits prosthetics coverage and organ transplantation Dental services also are limited to treatments of oral disease prior to transplantation and to extractions prior to treatment of certain cancers.

AZ-10-008

Prohibits the estate recovery of Medicare cost sharing benefits for dual eligible beneficiaries age 55 and over in compliance with Section 115 of the Medicare Improvements for Patients and Providers Act of 2008.

AZ-10-009

This SPA clarifies the service descriptions and provider qualifications for behavioral health services provided under the rehabilitation services component of the State Plan.

AZ-10-010B

This SPA updates the outpatient hospital reimbursement rates for the rate year beginning October 1,2010. The update reflects State legislative enactment of a rate freeze in which the inflation factors will not be applied. This SPA also updates the reimbursement effectiveness dates in Attachment 4.19-B for laboratory services and certain EPSDT services.