Propose a new model for Medicaid coverage and payment of case management services for children from birth up to three years of age who have ( 1) a 25 percent developmental delay in one or more areas of development, (2) atypical development, or (3) a diagnosed physical or mental condition that has a high probability of resulting in a developmental delay.

This SPA implements comprehensive changes to the effective date related to fee-for service providers for the following services: Physicians' Services, Dental Services, Mental Health Services, Podiatry, Nurse-Midwife Services, Durable Medical Equipment, Local Health Services, Laboratory Services, Handling Lab Specimens, X-Ray Services, Optometry Services, Medical Supplies and Equipment, Home Health Services, Physical Therapy, Occupational Therapy, Speech Therapy, Clinic Services, Personal Assistance Services, Supplemental Physician Payments and Supplemental Payments to Non-State Government Clin

This SPA propose to implement a process of screening providers and suppliers and create a temporary enrollment moratorium for certain providers under the Commonwealth of Virginia's Medicaid program, in accordance with Section 6401 of the Affordable Care Act.

This SPA modifies Attachments 4.19-A and 4.19-D of Virginia's Title XIX State Plan. Specifically, SPA 12-11 modifies reimbursement to establish inflation rates applied to operating rates, and escalation factors applied to rate ceilings, as well as setting the nursing facility rental floor for 2013.

This SPA implements changes to the co-pay structure.

This SPA brings the state into compliance with section 4107 of the Patient Protection and Affordable Care Act to provide for Medicaid coverage of comprehensive tobacco cessation services for pregnant women, including both counseling and pharmacotherapy, without cost sharing.

Pharmacy reimbursement.

This amendment revises methodology for periodically adjusting payment rates to reflect changes in case mix; updates the RUGS Grouper version; revises the type of debt recognized for purposes of determining allowable interest expense; increases the aggregate amount of supplemental payments to NFs operated by Local units of government; increases the alternate rate for ventilator dependent patients that have been transferred from a hospital to a NF; revises inflation, deflation, and labor factors, as well as the case mix weights for purposes of calculating the direct care allowance; increases the

This amendment revises payment methodologies for inpatient hospital services.

Outpatient hospital rates and methodologies.