This amendment modifies the State's reimbursement methodology for setting payment rates for intermediate care facilities for the mentally retarded.

This amendment modifies the State's reimbursement me thodo logy for setting payment rates for inpatient psychiatric facility services.

Physician Drug Program, Orthotics and Prosthetics, and Pharmacy Pricing.

Outpatient Drugs - Supplemental Rebates.

This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically, the amendment removes sunset language for institutions for mental disease disproportionate share hospital payments.

Outpatient Drugs - Supplemental Rebates with Mandaatory PDL.

This SPA incorporates the MAGI based Single State Agency Delegation of Authority requirements into North Dakota' s Medicaid state plan in accordance with the Affordable Care Act.

This amendment reflects the North Dakota change from an assessment State to a determination State.

This amendment reflects the North Dakota delegating appeals to the Office of Market Place Eligibility Appeals.

Managed care pharmacy carve-out.