This SPA amends the primary care health home program authorized under Section 2703 of the Patient Protection andAffordable Care Act.

This amendment allows the Florida Medicaid program an additional exemption to the Medicaid Recovery Audit Contractor (RACs) requirement for a period of one year after the approval date of this amendment.

Modifies the reimbursement for targeted case management services by applying a limit onprogrammatic indirect and overhead costs.

This SPA adds Community First Choice 1915 k, to the State Plan.

ontinues to provide coverage of children in the State Medicaid program, for 12 months if they would have lost Medicaid eligibility due to elimination of income due to disregards under the Modified Adjusted Gross Income methodologies.

Alternative Benefit Plan - Iowa Wellness.

Benefits for ABP population.

Amends the primary care reimbursement method outlined in section 1202 of the Affordable Care Act in order to utilize the site of service adjustment.

Includes a payment method for inpatient psychiatric facility services for individuals under age 21 who are nonverbal and served in a residential level of care.

Alternative Benefit Plan - Iowa Marketplace Choice.