This allows the State to affirm residency regulations in accordance with the Patient Protection and Affordable Care Act.

This SPA adds a description of maintenance therapy services.

This SPA provides clarification of language stating that Medicare Part D drugs are not covered for full benefit dual eligible members because coverage is provided through Medicare Part D Prescription Drug Plans and Medicare Advantage Prescrption Drug Contracting.

This SPA updates the amounts of Arizona's graduate medical education and indirect medical education payment pools and the qualifying hospital list for each payment pool for the fiscal period ending June 30, 2013.

This amendment provides that, effective from October 1 2013 to September 30 2014 inpatient hospital services will continue to be paid at the rate in effect as of September 30 2011 reduced by five percent.

This SPA amends hospital outpatient payment methodologies to comply with state and federal rules and the state 2013-2015 budget. Changes will include reductions to hospital outpatient rates, creation of a hospital upper payment limit payment and other possible revisions.

Affirms Citizenship Regulations, Specifies Reasonable Opportunity Options, and Specifies Policy Options related to Immigrant Eligibility.

Affirms Residency Regulations and Addresses Interstate Agreements and Temporary Absence in accordance with PPACA.

Incorporates MAGI Based Income Methodology.

Specifies Options for Presumptive Eligibility Conducted by Hospitals.