Requires that a State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial institution or entity located outside of the United States.

Provides assurance of Arizona s participation in the Public Assistance Reporting Information System (PARIS).

Restores medically necessary transplant services to Arizona Health Care Cost Containment system members meeting nationally-recognized criteria for certain non-experimental, non-investigational organ and tissue transplants that previously had been eliminated effective October 1, 2010.

Clarifies the service limitations and provider qualifications for home health services, therapies, diagnostic services, and private duty nursing.

This SPA revises the reimbursement methodology for school-based claiming to provide a morecomprehensive, cost-based reconciliation process to enhance the identification of actual costs and improve the accuracy of claims reimbursement.

Clarifies the non-physician behavioral health providers listed under Other Licensed Practitioners in the State Plan.

Reduces certain inpatient hospital reimbursement by five percent, for services from October 1, 2011 to September 30, 2012.

This SPA implements an outpatient hospital reimbursement rate reduction effective for claims with dates of service from October 1, 2011 to September 30, 2012.

Implements a rate reduction effective for claims with dates of service from October 1,2011 to September 30, 2012 for all non-institutional services except as otherwise noted. Inthat period, reimbursement will be reduced by 5 percent of the payment that otherwise would have been made under the methodology in effect as of October 1, 2010.

Reduces nursing facility payment rates by five percent, for services from October 1, 2011 to September 30,2012.