This amendment proposes changes to the reimbursement methodology for Children's Sub-Acute Long Term Care Hospitals.

This amendment provides for increases in payment rates for Nursing Facilities and Intermediate Care Facilities for the Mentally Retarded.

This state plan amendment requests revision of reimbursement methodology for End Stage Renal Disease (ESRD) to reflect Medicare's current bundled payment structure.

Dental Benefit Changes for Recipients 21 Years of Age and Older.

This amendment proposes to revise the inpatient hospital payment methodologies.

This SPA proposes to change the Medicaid reimbursement for covered outpatient prescriptions to average wholesale price (AWP) minus 16 percent and the dispensing fee to $3.00 in the Prescribed Drug section of the State plan to be consistent with the same reimbursement methodology and dispensing fee recently approved under South Carolina Frontis SPA 11-011.

This SPA proposes to revise the payment methodology for Nursing Facility services. Specifically, this amendment proposes to replace the intensive Technical Services reimbursement program with the Complex care reimbursement program and update the payment rate for this program.

This amendment proposes to revise the inpatient hospital reimbursement methodology for determining payment rates.

This SPA proposes to limit coverage for certain sedative hypnotic and opioid detoxification drugs for beneficiaries aged twenty-one years and older.

This SPA revise the payment methodology for inpatient and outpatient hospital services and other outpatient services for surgical procedures. Specifically, the amendment proposes to deny payment for Provider Preventable conditions (PPC).