This SPA amends the reimbursement methodology for Michigan's non-emergency medical transportation brokerage contract. It also provides for inclusion of Michigan's Healthy Michigan Plan population to receive covered services provided by the contracted broker.

The amendment is required by 42 C.F.R. 433.206(h) to allow the State to claim an increased federal medical assistance percentage for enrollees in the adult group.

This amendment provides for quarterly supplemental payments to public and private nursing facilities for dates of service beginning October 1, 2012.

Removal of benzodiazepines, barbiturates, and agents used to promote smoking cessation from the list of drugs the State Medicaid program may exclude from coverage or otherwise restrict in order to comply with the requirements of Section 2502 (a) of the Affordable Care Act.

Technical correction only to the effective date of SPA #NE 13-12. Nebraska had initially requested an effective date of December I, 20 13 and the efl'ecti ve date should be July 1, 2014.

The amendment implementes a 3.725% increase to the base rates paid for impatient services to all hospitals.

Affirms Citizenship Regulations, Specifies Reasaonble Opportunity Options, and Specifies Policy Options Related to Immigrant Eligibility.

Incorporates the MAGI-Based Eligibility Process Requirements, Including Single Streamlined Application.

Updates the DSH reimbursement for State Plan year 2013.

Implements Presumptive Eligibility by Hospitals.