This amendment provides that Private Hospital Supplemental Fund Program fupatient hospital supplemental payments will continue to be made to eligible hospitals, under state plan authority effective .July 1 2013 after the expiration of California Selective Provider Contracting Program.

This amendment provides that Construction Renovation Reimbursement Program inpatient hospital supplemental payments will continue to be made to eligible hospitals under state plan authority effective July 1, 2013 after the expiration of California's Selective Provider Contracting Program.

This amendment changes the audit selection methodology for purposes for purposes for rate setting for intermediate care facilities for the developmentally disabled including habilitative and nursing.

This amendment provides for supplemental payment up to actual Medicaid costs for governmental distinct part skilled nursing facilities.

The SPA implements a medical coordination program for the aged blind and disabled population in the state plan.

Outpatient Hospital Rates- EAPG Rate Setting.

Managed Care.

Requires coverage of face-to-face counseling for cessation of tobacco use by pregnant women.

Disregard all income for the following reasonable classifications children under the age of 21, placed in licensed foster care, for whom the state pays non-IV-E foster care maintenance payments andchildren under age 21 with non-IV-E adoption assistance agreements with Iowa or with a state with which Iowa has a reciprocity agreement.

SPA adds changes to reimbursement for the MIC KEY Percutaneous Cecostomy tube MIC Button used tin the treatment of fecal incontinence. This also expands coverage of the MIC KEY Gastrostomy tube to include ages 21 and older.