New optional reasonable classification of children as "Other" under 42 CFR 435.222.

Pregnancy Medical Home.

Maintains the Charity Care Subsidy Disproportionate Share Hospital (DSH) payments at $675 million for SFY 2014 and revises the related pool allocation methodology.

Increase in Home Equity for Long Term Care.

Increases the Standard for the Optional State's Supplementary Payment Program.

Disregards all income when considering eligibility for children under age 21 for whom the Texas Department of Family and Protective Services assume financial responsibility in whole or in part or who are under the age of 18 and are in the managing conservatorship of TDFPS.

Revises the calculation of the inpatient private hospital upper payment limit through the application of Medicare's prospective payment system, which is diagnosis-related group approach.

This amendment relates to the exclusion of the annual inflation factor, referred to as the economi\.' factor recognized under the CMS TEFRA target limitations.

Program Administration describes the Administrative responsibilities of the department of Health Care Services in it's role as the Medi-Cal Single State Agency.

This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.