This state plan amendment establishes the procedures for Hospital Presumptive Eligibility.

The purpose of this SPA is allow State operated and controlled Veteran's Affairs (VA) nursing facilities to include prescription drugs cost in their cost report as routine costs.

Revises the reimbursement of drugs reimbursed through the physician drug program.

Positive Behavioral Support Services.

Trauma Disproportionate Share Hospital payments.

Additional Class of Disproportionate Share Payment.

Updates nursing facility per diem rates for high cost Pediatric levels of care 1 and 2 for individuals less than age 21.

Public High Volume Medicaid and CICP Hospital Payment.

Revises the reimbursement methodology for pediatric care nursing facilities.

7.75% reduction in the reimbursement rate for Medicare crossover coinsurance claims.