Proposes to rebase the outpatient hospital reimbursement rate effective July 1, 2012, for one calendar quarter.

Proposes to delete a reference to therapeutically certified optometrists, clarify coverage criteria, increase the frequency of new frames for children through 7 years of age, and allow coverage of photo chromatic lenses and press on prisms effective November 1, 2012.

Implements an AAC reimbursement methodology for all drugs, replacing the AWP, SMAC & nonprescription drug methodologies. Where AAC isnt available, WAC will be utilized. dispensing fee is set at $10.02 based on survey completion by all pharmacies.

Establishes a new provider type for speech language pathologists in independent practice, group practice, and/or those enrolled in the Medicare program.

Revises language in the state plan for the Medicaid for Employed People with Disabilities (MEPD) eligibility group. The intent of this SPA is to disregard the annual cost of living adjustment (COLA) until the federal poverty level adjustments take place for the year, both in determining the income of an individual when determining financial eligibility under this group, and in determining the amount of premium, if any, to be paid by an individual determined eligible for Medicaid under this group.

Implementing dental service changes to cover services that are always approved on an exception to policy request.

Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

Amends your approved primary care health home program authorized under Section 2703 of the Patient Protection and Affordable Care Act.

State is attesting compliance with Section 2301 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148. This provision requires states that recognize freestanding birth centers to provide coverage and separate payments for freestanding birth center facility services and services rendered by certain professionals providing services in a freestanding birth center, to the extent the state licenses or otherwise recognizes such providers under state law.

Which proposes to implement enhanced reimbursement rates for primary care physician services effective January 1, 2013.