This amendment proposes to revise the payment methodology for Nursing Facility Care Services.

This amendment pti>poses to adjust the payment methodology for hospital inpatient services.

This amendment proposes to freeze perdiem amounts for nursing facility services payment at the SFY 2012 rates.

This amendment provides for the rebasing and inflation of costs used to calculate nursing facility reimbursement rates.

This amendment modifies the maximum amount of disproportionate share hospital payments that could be paid to Broadlawns Medical Center for the first half of State fiscal year 2014.

This SPA is the Phase II expansion of the Iowa serious and persistent mental illness health home program for Medicaid eligible individuals into an additional twentyeight counties as authorized under Section 2703 of the Patient Protection and Affordable Care ACT.

This SPA removes the services offered by local health departments from the Preventive Services section of the state plan, and adds these services to the Services Provided by Local Health Departments section in Attachment 4.19-B of the state plan.

Describes the MAGI Adjusted Gross Income MAGI Based Eligibility Groups in Accordance with the Affordable Care Act.

Describes the Financial Eligibility Methodologies that will apply to all Modified Adjusted Gross Income MAGI Based Eligibility Groups.

Amends the S30 for Children Under Age 19 to Increase the Income Limit from 237% to 312% FPL.