This State plan change is to adjust SFY 2010 and SFY 2011 rates for extended services for pregnant women based on an overall program reduction of 9.76% for SFY 2010. SFY 2011 rates are frozen at the SFY 2010 amount.

This amendment adjusts State Fiscal Year (SF) 2010 rates for Local Education Agencies based on an overall program reduction of 9.00% for SFY 2010. SFY 2011 rates are to be frozen at the SFY 2010 amount.

Allows Medicaid to end new admissions to this service effective January 1, 2010 and remove this service from the State Plan effective July 1, 2010. This amendment will also remove the paraprofessional level of community support services and case management functions from the service.

Will allow Medicaid to end new admissions to this service effective January 1, 2010 and remove this service from the State Plan effective July 1, 2010. This amendment will also remove the paraprofessional level of community support services and case management functions from the service.

This amendment changes the implementation date and better describes the Critical Access to Behavioral health Agency.

Tribal Consultation.

Addresses the requirements regarding Estate Recovery per Section 115 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) by encouraging dual eligible beneficiaries to fully utilize Medicare cost-sharing benefits available through the Medicare Savings Program.

This amendment adjusts the rates for immunization administration for Vaccines/toxoids.

The State Plan change is to adjust the SFY 2012 rates by a negative 2.66 percent to yield a 12 month 2 percent reduction in the 8 remaining months of this SFY. For SFY 2013, the rates will be adjusted such that they will equal 98 percent of the rate in effect July 1, 2011.

This amendment is required due to the State administrative decision to adjust the supplemental pages for rehabilitation services.