Adjusted to increase parameters around allowable expenses and timeframes in which to report pre-existing expenses.

Prospective payment rates for long term psychiatric hospital.

Seeks reimbursement for health home services to enrollees with one chronic condition, Bipolar Disorder, and being "at risk" for developing another, Hepatitis B and/or C, in the counties of Wayne, Cabell, Putnam, Kanawha, Raleigh, and Mercer.

Amends the provisions governing reimbursement for emergency medical aircraft transportation in order to increase the rates for services originating in rural areas.

This amendment addresses reimbursement to specified government-operated providers for costs of professional services.

This amendment requests an extension to the Medicaid Recovery Audit Contract from 7/1/14 to 12/31/15 to cover the lapse until a RAC is re-procured and a formal contract has been executed.

This SPA arnends the Outpatient Hospital Services reimbursement to include an approximate 9. 7% rate increase; update the reference to the CMS form used to identify outpatient costs for cost reporting purposes; clarify that dental services not grouping to an ambulatory payment classification ( APC) will be reimbursed as specified in the department' s outpatient fee schedule; and remove the language that reimburses CPT codes 99281 and 99282 for emergency room visits based upon the lowest level clinic visit APC weight.

The SPA provides for the continuation of various cost saving measures, which had been enacted previously and were to sunset, for hospital outpatient clinic, emergency department, certified home health agency, adult day health and freestanding clinic services.

FMAP Free Standing Birth Centers.

This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.