The amendment modifies the ba8is of interim reimbursement rates to state-operated psychiatric hospitals and adds DSH redistribution language for excess DSH payments made to state-operated psychiatric hospitals.

This SPA continues provisions for disproportionate share hospital payments to certain acute care hospitals that further Pennsylvania's goal of enhanced access in economically distressed areas.

This amendment continues a reimbursement system for acute care general hospitals using al.l patient refined-diagnosis related groups by removing expiring language.

This amendment updates and clarifies service limitations for residents in skilled nursing facilities who are both eligible and not eligible under the EPSDT program.

This amendment establishes conditions and guidelines for Freestanding Birthing Centers according to the Affordable Care Act of March 23, 2010.

This state plan amendment provides preventative dental services for adults.

dates the fee schedule for clinical diagnostics laboratories

This amendment updates the fee schedule for physicians and other practioners and add telemonitoring as an advanced telecommunication service.

This includes a fee for service payment for long acting reversible contranception in inpatient hospital settings.

This SPA replaces obsolete language pertaining to outpatient hospital reimbursement methodology used in the State Fiscal Year 2014, replacing it with reimbursement methodology for State Fiscal Year 2015.