Prohibition on payments to institutions or entities located outside of the US.

This amendment seeks to revise the state plan to reflect the newly enacted State law that makes medical assignment operational.

This amendment seeks to eliminate Targeted Case Management services for Individuals with HIV, Pregnant Woman, Persons Identified as Seriously Mentally Ill or Seriously Emotionally Disturbed, Low Functioning Severely and Persistently Mentally Ill Adults Needing Assertive Community Treatment (ACT), Individuals with Developmental Disabilities, and Case Management for. Elderly or Disabled Individuals Diverted/Deinstitutionalized from Nursing Facilities from the State Plan.

The attached pages offer affirmation that the State of Indiana does not prohibit curative treatment upon the election of the hospice benefit by or on behalf of a Medicaid or CHIP eligible child.

This SPA makes conforming changes to the State Plan to establish an additional payment for in-state hospitals that have a high volume.

This amendment imposes a 5% rate reduction on all medical supplies provided from July 1, 2011 to June 30, 2013. This SPA also seeks to change the methodology of Medical Supply reimbursement to utilize Medicare rates as the reimbursed amount when available, or the acquisition cost when Medicare rates are not available.

This amendment seeks to revise the reimbursement methodology of DM Medical Equipment and Hearing Aids as well as reduce the rates by 5% for services rendered between July 1, 2011 and June 30, 2011.

Reduce Medicaid per diem reimbursement to Nursing Facilities by 5% for dates of service July 1, 2011 through June 30, 2013.

Rate reduction for freestanding renal dialysis clinic services by five percent (5%) for the period July 1, 2011 through June 30, 2013.

This SPA makes conforming changes to the State Plan to implement changes made to the Indiana Code at IC 12-15-13-4 by HEA 1001 (2011) that directs OMPP to issue a final recalculated Medicaid rate due to an audit after the reconsideration period rather than waiting until all the appeal rights under 405 IAC 1-1.5-2 have been exhausted, increases Medicaid reimbursement to nursing facilities fur initiatives that promote and enhance improvements in quality of care to nursing facility residents, extends the effective dates of various rate parameters and limitations, increases administrative reimburs