This SPA continues to pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.

This SPA adds seven western New York counties to the state Medicaid transportation management initiative effective November 1, 2014.

Emergency Transportation Rates.

This SPA authorizes the Kentucky Medicaid Commissioner, Lisa Lee to submit state plan amendments for the KY Department for Medicaid Services.

This SPA increases the percentage of Medicaid enrollees, adds additional categories of eligibility, and requires mandatory participation in Mississippi Coordinated Access Network (MSCAN) for certain Medicaid beneficiaries.

Estate Recovery.

This SPA updates the rates paid for services under the Department of Vermont Health Access' Resource Based Relative Value Scale methodology.

This SPA increases the threshold used to determine the cost-effectiveness of continued estate recovery collection efforts.

This SPA updates the state Plan's provider participation nondiscrimination language to match the State's current nondiscrimination policies.

This SPA comply's with tobacco cessation coverage services as required by the Patient Protection and Affordable Care Act.