This state plan amendment revises the fee schedule for durable medical equipment, prosthetics, orthotics and supplies.

Calculation of average commercial rate.

Amends the provisions governing DSH payments in order to establish payments to LA low-income academic Hospitals.

Reduces the reimbursement rates for vaccine administration by 7.75 percent.

Allows for the reduction of rates for payments to end stage renal disease dialysis facilities.

Requests a rate reduction for eyeglasses and establishes rate methodology for DME that have no Medicare procedure code established.

Allows for 7.75 percent rate reduction for free-standing ambulatory surgery center clinic services.

Allows for 7.75 percent rate reduction for physician and physician assistant services.

Allows for the reduction of rates for payments for services provided by anesthesiologists.

Allows for the reduction of rates to payments for clinical laboratory services.