Through which the state is assuring compliance with provider screening and enrollment under Section 6401 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148.

The State is attesting compliance with Section 2301 of the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148.

This amendment includes changes to: indicate the basis of the state DSH survey used for interim DSH payments for SFY 2013 and subsequent years; ensure that interim DSH payments made to federally deemed DSH hospitals and new hospitals do not exceed their estimated hospital-specific DSH limits; and allow Department of Mental Health (DMH) hospitals to adjust interim DSH payments based on the results of a DMH state DSH survey.

This amendment provides the State Fiscal Year (SFY) 2013 trend factor.

This amendment provides for a per diem increase to nursing facility and HIV nursing facility reimbursement rates by granting a trend adjustment resulting in an increase of six dollars and zero cents ($6.00) effective for dates of service beginning Jul 1, 2012.

Increases the overall outpatient rates for services provided in federally designated critical access hospitals (CAHs) by 5% and state designated CAHs by 3%.

Services (CMS) received Missouri's State Plan Amendment (SPA) transmittal #12-15, which reflects an increase in the Personal Needs Allowance from $30 to $35 for individuals and from $60 to $70 for couples.

Reflects a change in the sunset date for Adult Day Health Care services from December 31, 2012 to June 30, 2013.

Removed references to the second surgical opinion requirement for certain elective surgeries.

Adds language to increase payments to certain physician specialties for primary care evaluation and management (E/M) healthcare common procedure coding system (HCPCS) codes as required by Section 1202 of the Affordable Care Act.