This amendment clarifies language regarding the assessment of penalties for late filing of a cost report and the removal of the requirement that there must be a change in the total per diem cost of the applicable cost center by ten cents or more per patient day in order to submit an amended cost report and changes to the intermediate care facility for the mentally retarded (ICF-MR) chart of accounts and the inclusion of day programming costs in the direct care costs of an ICF-MR.

This amendment revises supplemental payments to children's hospitals for inpatient outliers and supplemental inpatient hospital upper limit payments for children's hospitals.

This amendment revises the methodology for making disproportionate share hospital (DSH) payments. Specifically it updates the base year for determining the DSH cost from hospital fiscal year 2006 to hospital fiscal year 2007. In addition, it revises the payment limits for existing DSH pools.

This SPA renews the State's current practice of making supplemental payments to hospitals for outpatient services.

To correct excluded drug coverage and clarifies our policy regarding the elimination of coverage of antitussive/expectorant and cough/cold medications for primary Medicaid and Dual eligible beneficiaries.

This amendment updates the effective date of the physician services fee schedule to October 1, 2009.

This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically, the amendment will update the base year cost reports used to determine DSH eligibility and DSH payments, update the market basket index used to increase provider rates, and increase hospital payment rates.

This amendment modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services. Specifically, the State proposes to establish the payment methodology for payment of inpatient hospital services admissions required as a result of emergency outpatient services, when provided by non-contract hospitals. The rates will be established at 57% of the Medicare DRG rates in effect in 2008 or any new Medicare DRG rates established after 2008.

This amendment makes revisions to inpatient hospital rates and methodologies. Specifically, this amendment revises the diagnosis related grouping (DRG)b a-sed methodology used to calculate reimbursement to hospitals for inpatient services; eliminates a payment methodology for disproportionate share hospital (DSH) payments to hospitals with an indigent care agreement (ICA) with a general assistance medical care program in the area; and provides for a payment amount per inpatient discharge add-on to the DRG payment for acute care, children's,an d rehabilitation hospitals.

Self-directed personal assistance services.