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

The SPA changes pharmacy reimbursement from average wholesale price to wholesale acquisition cost.

This SPA implemented Section 4107 of the Affordable Care Act regarding coverage for tobacco cessation services for pregnant women.

This SPA was submitted to increase the pharmacy copayments for certain generic, brand-name and over-the-counter drugs from $3.00 to $3.65.

This SPA adds an additional entity, Native American Lifelines of Boston, into the ongoing process by which the Commonwealth consults with Tribes and Indian health programs concerning Medicaid and CHIP matters having a direct effect on Indian health issues.

This SPA implemented the provider screening and enrollment provisions of Section 6401(a) of the Affordable Care Act.

This SPA terminates the State's 1616 agreement with the Social Security Administration.

This SPA updates the terms of the State-specific Supplemental Drug Rebate Agreement.

This SPA revises the payment methodology for out-of-state acute hospital outpatient services.

This SPA amends the State's approved Title XIX State Plan to assure compliance with federal requirements for the Medicaid Recovery Audit Contractor (RAC) Program. We have approved the State's request for an exception to establish the RAC program until no later than June 1, 2012.