Changes the dispensing fee for 340B purchased drugs to $12.00 for both single source and multiple source drugs.

This amendment transitions from a manual method of identifying and adjusting claims subject to inpatient hospital Health Care Acquired Conditions to the implementation of the 3M All Patient Refined Grouper (APR-DRG) HCAC utility.

This SPA updates Montana' s fee schedule for Free Standing Birthing Center Services which includes an approximate rate increase of 9.7%.

This State Plan Amendment updates the utilization trend used for the outpatient hospital UPL.

This SPA concerns the implementation of a Primary Care Medical Home through a voluntary PCCM authority to allow for Wyoming Medicaid to pay the PCCM entities a Per Member/Per Month case management fee for managing the health care needs in a primary care medical home setting and for reporting quality measures to the State, in addition to payments made on a FFS basis.

This state plan page describes specific requirements for what consitutes state residency.

Non-Financial Eligibility: State Residency.

This SPA establishes the state's election of the MAGI-based eligibility for the family planning optional eligibility group in the Medicaid state plan.

Presumptive eligibility for former foster care children.

This SPA specifies options for presumptive eligibility conducted by hospitals into the Medicaid State Plan in accordance with the Affordable Care Act.