This SPA deletes limits to payment for all single entity and multiple vitamins.

Nursing facility reimbursement.

Amends the State Plan to Implement the Resource Utilization Group (RUG) IV classification system, Identify the increase for nursing facility services, change the allowable education expense limit, identify salaries accrued at a facility's year end, but not paid within 75 days of The cost report yearend as an unallowable cost, and additional changes to provide for further detail on reporting requirement.

Amends the State Plan to provide a supplemental payment for' ICF providers.

Amends the State Plan to identify the reimbursement increase,for selected inpatient hospital services effective July 1, 2012.

This State Plan Amendment clarifies nonp-ayment for health Care-a nd hospital -a cquired conditions (HAGS).

This amendment updates the reimbursement methodology for inpatient hospitals participating in South Dakota Medicaid.

This amendment adds Licensed Freestanding Birth Centers and corresponding reimbursements section to the State Plan.

This amendment provides legislative updates to the reimbursement methodology for inpatient hospital services.

This Amendment adjusts Medicaid rates of payment for services provided by Certified Home Health Agencies (CHHAs) to address cost increases stemming from wage increases to comply with certain State law provisions.