This state plan amendment updates the fee schedule for hearing aids and audiometric evaluations.

This state plan amendment revises the existing payment methodology for all Part B services. The State will reimburse for the Part B deductible for the dual eligible population up to the annual maximum amount set by Medicare each year.

This state plan amendment removes outdated language to reflect that Texas is in compliance with 42 CFR 433.139 (e) to cost avoid the recovery of Long Tenn Institutional Care and Vendor Drug program claims.

This SPA reflects changes in pharmacy coverage required by Section 175 of the Medicare Improvement for Patients and Providers Act of 2008 which amended section 1860D-2(e)(2)(A) of the Act to include barbiturates "used in the treatment of epilepsy, cancer, or chronic mental health disorder" and benzodiazepines in Part D drug coverage.

This state plan amendment updates the fee schedule for ambulance services.

This state plan amendment updates the fee schedule for durable medical equipment, prosthetics, orthotics, and supplies.

This state plan amendment updates the fee schedule for physicians and other licensed practitioners.

This state plan amendment adds licensed directentry midwives as a payable provider type in the birthing center setting.

This state plan amendment updates the fee schedule for hearing aids and audiometric evaluations.

This state plan amendment updates the fee schedule for dental services under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program. The amendment also deletes obsolete language regarding past rate reductions for this service.