4.19-D formatting issue.

Supplemental Payments to Non-State Government-Owned Nursing Facilities.

No Inflation Adjustment for Inpatient Hospital Services.

Removes the 20 limit visit on physical, occupational and speech therapy services.

Removes Private Inpatient Hospital Adjustment.

Health Home Chronic Care Management for Individuals with Serious and Persistent Mental Health Conditions.

Outpatient hospital rates and methodologies: Measurement Year 2015 Pay-for-Performance Program Updates.

Freezes the rates for Targeted Case Management for Children and Adults with Serious Emotional Disturbance, or Severe and Persistent Mental Illness or Substance Abuse Disorder for State fiscal years 2014 and 2015.

The Attachment 4. 19B Introduction Page is being amended to include new services, to update the dates of the fee schedules, and to reflectSPA services that have an approximate 2% increase that are not being reflected in other State Plan Amendment transmittals.

Reimbursement update for Durable Medical Equipment.