The purpose of this amendment is to reduce the reimbursement to Ambulatory Surgical Centers by 3.5% due to a budgetary shortfall.

Delete wording regarding Newborn eligibility per CHIPRA legislation.

Application of 12 months continuous provision (Section 1902(c)(12).

To comply with the requirement of section 1903 (v)(4)(A) of the Social Security Act, this State Plan Amendment covers pregnant women and children under the age of 21 who are lawfully residing in the United States.

Irrevocable Burial Contracts, increased from $7,500.00 to $10,000.00.

The amendment eliminates the 2.5 percent Medicaid payment reduction for Medicaid services delivered by providers of in-home total parenteral hyperalimentation services that was implemented September 1, 2003 and removes other language inapplicable to this section.

The proposed amendment updates the reimbursement rates for Certified Nurse Midwife (CNM) services within the Physician Services fee schedule. This amendment also removes the state plan pages for birthing enters because they will no longer receive Medicaid payments.

The proposed amendment will eliminate direct service spending requirements for the Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) program effective for costs accrued on or after September 5, 2009. The amendment also modifies the descriptions of the cost components included in the ICF/MR rates and updates the reimbursement methodology to eliminate references to an outdated model.

The proposed amendment updates the Physician's Fee Schedule.

The proposed amendment is an update to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule.