This amendment updates provisions of the Nursing Facility (NF) and Nursing Facility for Mental Health (NF-MH) Quality Care Assessment Pass-Through. The Pass-Through is begin changed from a lump-sum payment to a per diem add-on.

Updates provision of the Nursing Facility (NF) and Nursing Facility for Mental Health (NF-MH) Quality and Efficiency Incentive Factor per diem add-on. Also updates charts and exhibits within the State Plan that demonstrate the revised factors and limits applicable to the new rate period beginning with SFY 2014.

The SPA proposes to amend the provisions governing the reimbursement methodology for physician services to adopt a manual pricing methodology for covered services that do not have Medicare established rates.

The SPA proposes to amend the provisions governing the reimbursement methodology for laboratory and radiology services to adopt a manual pricing payment methodology for covered services that do not have Medicare established rates.

New Provider Type to Other Practitioners' Service.

This amendment proposed a removal of the optional coverage of benzodiazepines, barbiturates and smoking cessation medications from the excludable drug category.

This amendment revises methodologies and standards for determining payment rates for nursing facility provided services.

Dental rates and services.

Payments to RHCs and FQHCs.

The SPA allows the Division of Medicaid to implement and alternative payment methodology for Rural Health Clinics (RHCs).