Incorporates the MAGI Based Methodologies.

Adds a description of freestanding birth center services and a rate methodology for these services to the State Plan.

Establishes a new Section 1915 i State Plan Home and Community Based Services benefit for Adult Mental Health Habilitation.

Adjusts the per diem rate for private and non-state nursing facilities.

Requesting to add a description of tobacco cessation services for pregnant women to the State Plan.

This SPA adjusts the state estate recovery program to recover only on claims for all approved services of individuals age 55 and over who receive nursing facility services or home and community-based services.

Increases the minimum prospective payment services rate for Federally Qualified Health Centers free standing Rural Health Clinics and hospital based RHCs, from the current minimum level mandated by federal law to the current statewide Georgia Medicaid average.

Revises benefits and reimbursement for physical speech and occupational therapies.

Benefits and reimbursement for private duty nursing services.

Incorporates the Modified Adjusted Gross Income Based Methodologies into the Medicaid State Plan inaccordance with the Affordable Care Act.