The plan amendment establishes supplemental payments for emergency medical transportation services rendered by land and air ambulance providers. The amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.

The plan amendment provides for supplemental payments to small rural hospitals for Medicaid outpatient hospital services. The plan amendment change does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment carves out outpatient hospital services medical education payments from the prepaid risk-bearing MCO's so that the Medicaid agency can make the payments directly. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment makes the state be able to comply with federal requirements of section 1902 of the Affordable Care Act regarding Freestanding Birth Center Services. The plan amendment does not have a direct Impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment makes the state be able to comply with federal requirements of section 6401 of the Affordable Care Act regarding Provider Screening and Other Enrollment Requirements. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

Pharmacy dispensing fee increase and reimbursement for the administration of vaccines - H1N1 and seasonal flu.

Addition of registered/licensed dental hygienists as enrolled providers in the Michigan Medicaid program.

This amendment brings the State into compliance with Federal requirements with respect to non-payment for provider-preventable conditions.

This amendment revises methodology for supplemental payments to nursing facilities (NF) under the Quality Assurance Assessment Program (QAAP).

Update of the Ambulatory Surgical Center statewide budget-neutrality factor.