This SPA adds targeted case management services for individuals with serious mental illness and minors with serious emotional disorders.

This SPA provides coverage to qualified alien children with incomes up to 300% of the Federal Poverty Level (FPL) and qualified alien pregnant women with incomes up to 250% FPL, in accordance with Section 214 of CHIPRA.

This SPA This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA provides that payment rates for NF services furnished during State fiscal year 2009 shall be maintained at the same level that was in effect during the prior period of November 1, 2008 to June 30, 2009.

This SPA modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases the net reduction factor in Maryland's rates for certain cost centers (Administrative/Routine, Other Patient Care, and Capital) from the current 4.816% to the proposed 8.681% effective August 1, 2009.

This SPA modifies the methods and standards for setting payment rates for inpatient hospital services furnished by hospitals in the District of Columbia. It also modifies the rate setting assumptions for childrens residential treatment centers. Specifically, this SPA provides that effective October 1, 2009 the disproportionate share factor used in setting rates for inpatient hospital services in the District of Columbia will be reduced by two percent and creates a separate method for making payments to childrens residential treatment centers beginning December 1, 2009.

This SPA adds comprehensive substance abuse assessments, Level 1 Group and individual substance abuse counseling services and Level II Intensive Outpatient Services. Adding these services will increase payments to community-based substance abuse treatment programs.

This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases NF reimbursements by reducing the net reduction factor by 8.85 percent for certain cost centers and offsets the increase by implementing a light care incentive factor of 0.97.

This amendment updates services and freezes reimbursement rates for home health services.

This amendment updates services provided in school-based settings and the reimbursement methodology for these services.

This SPA updates services and revises the payment methodologies related to ambulatory surgery services in compliance with the Deficit Reduction Act of 2005.