The plan amendment updates the physician and other practitioners and tuberculosis clinic fee schedules. The amendment changes does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment updates the administrative section of the state plan which includes the Single State Agency Organization, relations with Standard-setting and Survey agencies and the State Governor's review. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The amendment clarifies the circumstances under which a drug will be placed on the State's preferred drug list. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment clarifies language regarding requirements for providers of EPSDT audiology and case management services. The amendment change does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment adds family partners as providers credentialed to provide mental health rehabilitative skill training and development and medication training and support for the benefit of the Medicaid eligible child. This plan amendment change does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.

This plan amendment implements section 4107 of Affordable Care Act to add tobacco cessation services for pregnant women to the Texas state plan. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

This state plan amendment implements changes in federal law pertaining to provider enrollment and provider screening and assures that the State complies with the regulations at 42 CFR 445 Subpart E. The State indicated that there is no fiscal impact. This SPA does not have a direct impact on tribes; therefore, tribal consultation was not required.

The plan amendment updates the fee schedule for physicians and other licensed practitioners. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment revises the reimbursement methodology for two procedures codes related to diabetic supplies. The amendment increases the reimbursement rate to the acquisition cost for these services. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment updates the fee schedule for durable medical equipment, prosthetics, orthotics, and medical supplies. The plan amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.