Private Psychiatric Hospital Continuance of Rates (FMAP = 50%).

Inpatient Language Assistance (FMAP = 50%).

Eliminate Trend Factor Adjustments - IP (FMAP=50%).

Enclosed is Ohios state plan amendment TN08-006 that contains new outlier services language proposed for adoption under Attachment 3. I A of Ohios state plan. This amendment also requests removal of existing sections contained under Attachment 4. l 9D, and removal of obsolete sections 5101 :3-3-54.l and 5101 :3-3-54.5 from Attachment 3. lA.

Rehabilitative services provided by community mental health facilities and rehabilitation services provided by alcohol and other drug treatment programs.

Supplemental inpatient hospital upper limit payments for public hospitals, Supplemental impatient hospital upper limit payments for state hospitals.

Family Planning Services and Supplies for Individuals of Child -bearing Age.

This state plan amendment accommodates Ohios interim budget for ICF-MR payment rates. For services provided after June 30, 2009, ICFs-MR shall continue to be paid the ICF-MRs rate for June 30, 2009. The department requests this amendment and the provisions contained therein be adopted under Ohios state plan effective July 1, 2009.

Change in the State Plan to reflect provisions of Amended Substitute House Bill 1 (128th Ohio Gneral Assembly) requiring missing facilities (NFs) to arrange for transportation services for their residents in return for an additional amount per diem general update of Plan language.

This amendment sets forth the provisions of Ohios Substitute House Bill 1 regarding SFYs 2010 and 2011 nursing facility (NF) reimbursement.