Continues provisions for Medicaid pay-for-performance (P4P) payments to county nursing facilities.

This SPA modifies the State's methods and standards for setting payment rates for inpatient hospital services. Specifically, this amendment authorizes supplemental payments to private hospitals where a Type One teaching hospital has a minority interest.

This Amendment modifies the State's methods and standards for setting payment rates for inpatient hospital services. Specifically, this amendment continues certain special payments provided to prospective payment hospitals and to safety net hospitals.

This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA implements changes in the occupancy standards used in developing per diem rates.

This amendment modifies the methods and standards for making Medical Assistance payments to nursing facilities (NFs). Specifically, this SPA increases interim and maximum rates by an overall average of 1. 725% by increasing the rates established for three of the cost center components by 3.2% each.

This amendment continues Maryland's project to split reimbursement methods for inpatient and outpatient services into separate Attachments 4.19 A and 4.19B. Specifically, MD 12-13 moves reimbursement for inpatient psychiatric services provided to individuals under the age of 21 to Attachment 4.19 A.

This amendment is an administrative correction for an error resulting from submission and approval ofMD ll-14A. Specifically, MD 13-13 re-establishes reimbursement language for residential treatment centers.

This amendment proposes to remove 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 of Section 2502(a) of the Affordable Care Act.

This SPA modifies reimbursement methodology for inpatient psychiatric services for children under 21.

This amendment proposes methodology for the redistribution of disproportionate share hospital (DSH) payments. Specifically, this amendment is proposing a multi-step DSH payment process that encompasses the current approved DSH payment methodology, but provides for the re-distribution of DSH payments upon the receipt of more current cost report data and the results of the annual independent DSH audit and reporting process.