This SPA proposes to revise the existing National Medicaid Pooling Initiative (NMP) Supplement Rebate Agreement.

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 proposes to revises the payment methodology for intermediate care facilities individuals with intellectual disabilities services.

This State Plan Amendment applies to Outpatient Hospital Supplemental Payments.

This amendment clarifies that Medicaid, as payor of last resort, utilizes third party payment methodology for crossover claims of Medicaid beneficiaries.

This State Plan Amendment updates the definition of home health services, clarifies services and limitations, updates references, and reorganizes home health information. It also updates the date of rates for home health services.

This State Plan Amendment updates and clarifies coding information in the State Plan by removing extraneous information that more appropriately exists in other administrative systems regarding physician fee schedules.

State Disregard of Income and Resources.

Concurrent Care for Children in Hospice.

This SPA is being submitted to comply with Section 2301 of the Affordable Care Act which requires states that recognize freestanding birth centers, and the services rendered by certain other professionals providing services in a freestanding birth center to cover the services provided by those centers and professionals as mandatory Medicaid services eligible for FFP.