This amendment revises the reimbursement methodology for Partial Care services provided by other health professionals authorized to administer mental health clinic services.

This amendment represents a complete rewrite of Attachment 4.19-D for nursing facilities (NFs), caps the NF per diem indirect care incentive payment at $9 .50, and reduces the NF inflation index adjustment from two-percent to one-percent.

This amendment represents a complete rewrite of Attachment 4.19-D for ICF/MRs. and freezes ICF/MR per diem rates for SFY 2010 to the rates in place on June 30, 2009.

This SPA makes technical corrections to identify how incontinence supplies are reimbursed which reflects current practice and aligns with the current Medicare Advantage contracts.

This amendment implements Section 112 of MIPPA, which increases the resource standards for QMBs, SLMBs and Qls to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy (LIS).

This amendment revises methods and standards for establishing payment rates for nursing facility services. Specifically, this amendment proposes a change in determining the nursing component of the nursing facility rate with implementation of a minimum data set (MDS) based reimbursement methodology.

This amendment makes revisions to inpatient hospital rates and methodologies.

This amendment revises the State's payment for hospital services. Specifically, this amendment provides for denial of payment for hospital acquired conditions based on Medicare's criteria.

This amendment changes the prescription early refill time frame from 80 percent to 90 percent of the prior prescription having been utilized.

This SPA proposes to place reasonable limits on the amounts of incurred necessary medical and remedial care expenses recognized under State law, but not covered under the State Plan.