This SPA amends the Medicaid reimbursement component for Personal Care Services.

Reimbursement for services provided in Special Health Care Needs Facilities.

Reduces the Children's Outpatient Hospital Adjustor Pool.

TeleHealth Services and Reimbursement.

This amendment permits an exception to estate recovery provisions with respect to individuals who receive benefits under LTC insurance policies sold under the Partnership program.

This amendment revises the methodology used to inflate the direct care and routine cost components.

This amendment proposes to modify the payment methodology for inpatient hospital services.

This SPA transmitted an amendment to your approved Title XIX State plan to assure comparability amount, scope and duration of services made available to categorically and medically needy populations in the State plan. This amendment clarifies that all services provided for medically needy groups are identical in amount, duration, and scope as those for categorically needy groups.

This amendment reimburses all non-hospital based physicians 70 percent of the Medicare Maine Area "99" fee schedule.

This amendment clarifies that hearing instrument specialist services are provided as other licensed practitioner services pursuant to 42 CFR 440.60 and updates the State plan to reflect the State's new hearing aid replacement policy.