This amendment increases the Safety Net Hospital Adjustment payments for certain hospitals through December 31, 2014.

This SPA modifies Attachments 4.19-A and 4.19B of West Virginia's Title XIX State Plan. Specifically, SPA 12-010 implements regulations for provider preventable conditions and related payment adjustments for Medicaid.

This state plan amendment updates the fee schedule for clinical diagnostic laboratories.

Incorporates Citizen and Non-Citizen Eligibility Requirements

Removes the Requirement for Citizenship for Presumptive Eligibility from State Plan.

Eliminates the Option for Individuals Within Nevada's Newly Eligible Population Who Have Been Determined to be Seriously Mentally Ill to Disenroll from Medicaid Managed Care Plans.

Discontinues Coverage for Women in the Breast and Cervical Cancer Screening Program.

Clean-Ups Maryland's State Plan to Bring Maryland's State Plan Into Technical Conformity with Maryland's Income Disregard Practice for Eligible Children Age One to Eighteen.

Updates the Supplemental Rebate Agreement (SRA) with Revised Definitions and Structural Changes to the SRA.

Specifies Eligibility of Pregnant Teens and Treatment of Income.