This transmittal is being submitted to implement Section 6401(a) of the Affordable Care Act-provider screening and enrollment assurances.

This amendment implements concurrent care for children on hospice in compliance with Section 2302 of the Affordable Care Act. In addition, this amendment provides comprehensive coverage language on hospice services within the State plan in accordance with 1905(o) of the Social Security Act.

This SPA adds Non-Traditional Healthcare Workers under the supervision of a licensed health care professional to the Medicaid State plan.

This SPA was submitted to reflect a change to the date for the published fee schedule for Targeted Case Management for (TCM) Medicaid High Risk Infants and Children.

This SPA was submitted in response to a CMS companion letter issued September 25, 2012 with the approval of SPA 12-009. This filing clarifies the amount, duration and scope of the following plan services: home health; private duty nursing; occupational, physical, and speech therapies.

This SPA was submitted to reflect specified provider rate reductions to comply with budget limitations. An analysis was performed on this SPA in reference to access of care, and was determined satisfactory.

This SPA increases the payment standards for the optional State supplementary payment program.

Nonemergency Medical Transportation (NEMT).

This amendment is a technical correction to the Medicaid State plan and makes no program or financial changes.

This amendment modifies the alternative payment methodology for services provided at Federally Qualified Health Centers.