Adds coverage for Optometry and Podiatry services to all Medicaid recipientsboth in either medically needy or categorically needy groups.

Provides for an exemption from estate recovery in an amount equal to the benefits paid by certain LTC insurance policies, where those benefits were disregarded in the determination of an individual's Medicaid eligibility.

This SPA implements the use of an alternative payment methodology (APM) to reimburse Federally Qualified Health Centers (FQHCs) for medical and dental services.

This amendment corrects and reduces duplicative licensing requirements for behavioral health providers.

This SPA increases the personal needs allowance for the aged, blind and disabled population from $30 to $60 for individuals and from $60 to $120 for couples as authorized by the state legislature.

Amends fee schedule reimbursement for ambulance services.

Implements the provision of Medical Transportation services on a regional basis through Managed Transportation Organizations (MTO).

Primary Care Physician Enhancement Payments.

Modifies the rate methodology for the Programs for the All-Inclusive Care of the Elderly (PACE) aligning payment with the Oregon Health Authority's (OHA) performance-based reimbursements.

Removes the Primary Care Physician Program from the state plan.