Resources Disregard for Children Under Age 19.

Change in Asset Limit for Medicare Beneficiaries.

This SPA transmitted a proposed amendment to your approved Title XIX State plan to update coverage of targeted case management services provided to persons with developmental disabilities (1) who are unable to access needed medical, social, educational and other services because of adaptive deficits due to their level of disability, or (2) who lack the active assistance of a family member or other interested person to assist them in accessing needed services.

Hospital Inpatient Payment Methodology Changes.

This amendment amends the rate setting methodology for reimbursement to nursing facilities. Specifically, it modifies the methodology for calculating inflation factors for state fiscal year 2010 only in the following cost categories: Nursing Care, Director of Nursing, Resident Care, and Indirect.

The SPA transmitted a proposed amendment to your approved Title XIX State plan to reinstate chiropractors' services.

This SPA proposes to revise the estimated acquisition cost for Medicaid prescription outpatient drugs from the current average wholesale price (AWP) minus 11.5 percent to AWP minus 14.2 percent. This SPA also reduces the dispensing fee for out-of-state pharmacies from $3.65 to $2.50. This amendment provides safeguards to assure that Medicaid beneficiaries will continue to have access to appropriate drugs.

The SPA transmitted a proposed amendment to your approved Title XIX State plan to reduce payment rates to non-exempt providers by two percent.

Proposed amendment to your Agency's approved Title XIX State plan to reflect the changes enacted by the Medicare Improvements for Patients and Providers Act of 2098 (MIPPA).

Proposed amendment to your Agency's approved Title XIX State plan to implement an asset verification system (AVS).