CHIP MAGI Eligibility and Methods.

This SPA proposes to revise the payment methodology for nursing facility services. Specifically, the amendment proposes to provide an enhance payment of $120 per day to qualified nursing facilities for ventilator dependent or qualified tracheostomy services.

This amendment provides for supplemental payments, funded by a quality assurance fee, for inpatient hospital services for the service period of July 1, 2011 to December 31, 2013.

On February 22, 2012, the State requested that SPA 11-037 be split such that 11-037a amends the State Plan to delay the effective date of the elimination of the coverage of Adult Day Health Care (ADHC) services to April 1, 2012.

Payment reduction to Adult Day Health Care (ADHC).

This amendment provides for an exemption from the 10 percent payment reduction and rate freeze to any Distinct Part Skilled Nursing Facility - Level B that provides at least 90 percent of their services to children under the age of 21, effective February 18, 2012.

Hospice Services Reimbursement.

Estate Recovery and Managed Care - Total Capitation Payment.

Reimbursement Methodology for ICF/MR Facilities.

This SPA proposes amendments to Hawaii's approved Title XIX State Plan to eliminate certain optional services for Hawaii's QUEST beneficiaries, as well as to impose an inpatient service limitation on this population.