These changes are being made to comply with 2011 Idaho Legislative direction in House Bill260. This change is a reduction in adult psychosocial rehabilitation (PSR) service homes.

This SPA substitutes the Payment Error Rate Management (PERM) review process for the Medicaid Eligibility Quality Control (MEQC) review process in State Fiscal Years 2012,2015, and 2018.

This SPA implements copayments for certain services under the authority of 1916A of the Social Security Act (the Act) for the eligibility group of "Katie Beckett/TEFRA" children covered under 1902(e)(3) of the Act.

This transmittal updates the optional state supplement standards for special income level groups consistent with the published 2012 federal poverty levels.

This amendment requests an exception to the January 1, 2012, implementation date in regulation and requests a date of July 1, 2012, in order to allow time for the State to enter into a multi-state contract for selection of a Medicaid recovery audit contractor.

This amendment reduces the amount, duration and scope of occupational therapy (OT), physical therapy (PT), and speech therapy (ST) for Medicaid eligible individuals.

This SPA amends Idaho's current 1915(i) State plan benefit by adding clarifying language to the services available to eligible participants. In addition, this SPA adds language to indicate that on June 30, 2013, Intensive Behavioral Intervention (IBI), IBI consultation, Developmental Therapy (DT), and Children's Service Coordination (CSC) will sunset in Idaho's Basic and Enhanced Benchmark Benefit plans.

This SPA amendment was required by Section 6411 of the Affordable Care Act pertaining to the Medicaid Recovery Audit Contractor (RAC) program. Effecting December 31, 2010, Louisiana is attesting that they are establishing a Medicaid RAC progrem. The amendment does not have a dired impact on tribes, and did not require a tribal consultation

This state plan amendment establishes program criteria and reimbursement for mental health rehabilitation services for children and youth It eacpands services and changes substance abuse rehabilitation services.

The purpose of this amendment is to increase the direct care and care related price multiplier and to increase the fair rental value minimum occupancy percentage for the calculation of nursing facilities payments.