Implements supplemental payments to a subclass of privately owned Georgia hospitals for certain identified outpatient hospital services.

Adjusts Disproportionate Hospital Share payments.

Modifies the reimbursement methodology for inpatient hospital services.

Makes changes to the reimbursement method for inpatient hospital services.

Authorizes supplemental payments for inpatient and outpatient hospital services.

Revises the reimbursement methodology for public intermediate care facilities for individuals with intellectual disabilities services.

Removes barbiturates, benzodiazepines, 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.

Clarifies that only Community Mental Health Centers (CMHCs) are allowed to provide MRO services.

This SPA provides for exceptions to Hawaii's Medicaid Recovery Audit Contractor program.

Clarifies that Episode of Care negative incentive adjustments will not exceed ten percent of the provider's gross Medicaid reimbursements received by the provider during the calendar year, rather than the performance period.