This amendment proposes to allow the Mississippi Div:ision of Medicaid to change the payment methodology for freestanding and hospital-baseddialysis centers from a composite rate system to a prospective payment system.

This SPA removes the drug categories of barbiturates, benzodiazepines and smoking cessation drugs from the list of drugs that may beexcluded or otherwise restricted from coverage from the state plan.

This SPA adds Telemedicine Services.

Adds service of screening, brief intervention, and referral to treatment to the state plan as a preventive service.

Primary Care Rates - Vaccine Codes.

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

This State Plan Amendment updates Nurse Practitioner Services, whichfacilitates client access to health care throughout Utah by allowing licensed nurse practitioners to directly bill Medicaid for their services.

This amendment updates psychiatric services by removing provisionsalready consolidated in another section of the State Plan.

This amendment updates the State Plan to indicate that prior quarter coverage will be covered for all Title XIX populations effective on January 1, 2014.

This SPA proposes to add recognition of the Oklahoma Department of Mental Health and Substance Abuse Services certification in lieu of other standard accreditation for public and private community mental health centers.