This amendment makes technical changes to eligibility criteria for alternate rate setting methodology for certain nursing facilities (NF).

Revises Estate Recovery definitions.

Reinstatement of Chiropractic Services to Adults.

Pharmacy.

This SPA converted the State's combined CHIP program to a full Medicaid Expansion program.

This transmittal is being revised to implement a change in the nursing facility rate setting methodology.

This transmittal is being submitted to reflect a new methodology to calculate the DSH payments to DSH hospitals and to describe the Upper Payment limit calculation.

This transmittal is being submitted to implement changes to prevent the payment of Provider Preventable Conditions. These are conditions that would have been reasonably avoided through the application of evidence-based practices.

This transmittal is being submitted to implement changes to The Outpatient payment method as outlined in S.B. 204 passed in the 2011 Oregon Legislative session.

This transmittal is being submitted to for technical corrections made when SPA approved prior to 11-14. This incorporates the language with appropriate dates.