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 and described in 42 CFR 435. 119.

This SPA adds adult dental into the ABP.

Amends the State Plan to finance nursing facilities during emergencies or critical incidents and provides administrative relief to nursing facilities during emergencies or critical incidents.

Immunization Administration.

Screening, Brief Intervention, Referral to Treatment (SBIRT) payment rates.

Changes the income disregards for the Medicare Savings Program (MSP).

Updates the income eligibility standards for the Low Income Adults eligibility group described under Section 1902(a)(10)(A)(i)(VIII) of the Social Security Act.

Updates the income eligibility standards for the Low Income Adults eligibility group described under Section 1902(a)(10)(A)(i)(VIII) of the Social Security Act.

Increases the Personal Needs Allowance component for Medicaid beneficiaries eligible for State Supplement Awards.

This amendment allows the current Medical School physician supplement payment methodology to continue for services through June 30, 2014 with a maximum total computable reimbursement of $83,384,893.