This SPA authorizes the election by a parent of the hospice benefit which will not constitute a waiver of any rights relating to treatment of a child's condition when it has been determined the condition is terminal.

This SPA proposes to reduce inpatient hospital rates to achieve a savings of total expenditures of $16 861,766 ($10,817,546 FFP) for the 21 months ending September 30, 2011.

This SPA proposes to adjust reimbursement for Nursing Facilities.

This SPA proposes to adjust reimbursement for Intermediate Care Facilities for the Mentally Retarded and Developmentally Disabled.

This SPA proposes to adjust reimbursement for hospital services.

This SPA authority in Section 1902(q) of the Social Security Act to increase the personal needs allowance for certain individuals who are paying court ordered child support.

This SPA is for implementation of an electronic Asset Verification System (AVS) that will verify the assets of blind, aged or disabled applicants and recipients of Medicaid as required by Section 1940 of the Social Security Act.

This SPA proposed to make the Wholesale Acquisition Cost (WAC) based reimbursement calculation equivalent with the current Average Wholesale Price (AWP) based calculation.

This SPA proposes to revise the payment methodology to deny payment for Provider Preventable conditions.

This amendment proposes to adjust the payment methodology for Long Term Care services. Specifically the amendment proposes to increase reimbursement rates resulting from a change to the 2009 cost report from the 2006 cost report as the basis for reimbursement rates.