Supplemental inpatient hospital upper limit payments for private hospitals.

Supplemental inpatient hospital payments for children's hospitals.

Supplemental outpatient hospital upper limit payments for private, public non state - owned and public state -owned hospitals.

To implement hospital outpatient rate increases and to update the State Plan with technical corrections to outdated language.

To permit reimbursement to providers for the administration of influenza vaccines.

State plan amendment TN 10-001 modifies rate growth for nursing facilities. It also includes a new provision that provides an additional amount for real estate taxes for those facilities that had a credit reducing their real estate taxes reflected on the base year cost report to zero. This amendment also modifies the state fiscal year 2011 Medicaid per diem rate for the states ICF-MR outlier facility.

This state plan amendment accommodates the October 1, 2010 implementation of the Minimum Data Set Version 3.0 (MDS 3.0) resident assessment instrument (RAI) by the Centers for Medicare and Medicaid Services (CMS). The RAI is the assessment tool used in Ohio to measure resident acuity, is the foundation for planning and delivering care to nursing facility (NF) residents, and is used in the calculation of NF reimbursement rates.

Clarifies the use of 1902(2)(r) disregard for individuals described in section 1902(a)(10)(A)(ii) and 1905(a)(i) of the Act.

Removal of provider agreements contained in Attachment 4.13 -B and Attachment 4.13 -C of the State plan, effective July 1, 2010.

This amendment serves to implement Section 19002(a)(10)(A) of the Social Security Act (the Act), including continuous eligibility under Section 1902(e)(12) and presumptive eligibility for children under Section 1920A of the Act . Ohio is a Medicaid expansion state under Title XXI; this is a companion state plan submission to our Title XXI state plan amendment, SCHIP #5.