Updates Optometric services and makes optometrists eligible for the meaningful use of electronic health record incentive by moving optometric services from an optional service to a mandatory service under physicians services.

Revises the methodology for the disproportionate Share Hospitals reimbursement and revises the methodology for calculating hospital specific limits.

Amends the provisions governing third party liability to discontinue the practice of allowing providers to pursue collection of the difference from liable of the third parties in traumatic injury cases.

This SPA disregards the income of children age 6 to 18 up to 142 percent of the Federal Poverty Level.

Expands the scope of services offered under the State existing 1915i State plan section that serves persons with developmental disabilities that require a level of care that is less stringent than institutional criteria.

Updates the optional state supplement standards for special income level groups consistent with the published 2014 federal poverty levels.

Removes the sunset date of September 30 2013 for Express Lane Eligibility option underMedicaid and to add language regarding eligibility determinations using Modified Adjusted Gross Income based methodology in accordance with the Affordable Care Act.

Approves Illinois' request to modify non-institutional payment rates as well as pharmacy reimbursement rates.

This SPA excludes all income when determining eligibility for pragnent minors.

Proposes to eliminate GME payments to out-of-state hospitals and change the reimbursement methodology for non-emergent ER visits with the proposed effective date of September 1, 2011.