This SPA allows the Alabama Medicaid Agency to continue allowing eligible primary care physicians that practice in family medicine, general internal medicine or pediatric medicine to receive enhanced payments for certain specified procedure codes for elvaluation and management services and certain Vaccines for Children vaccine administration codes.

This SPA exempts participating Medicare Advantage Plans from nursing facility cost sharing obligations for Part A-like services provided during a Dual Eligible Member's Medicare covered stay in a nursing facility.

Outpatient Hospital Rates and Methodologies.

This SPA continues certain inpatient supplemental and disproportionate share hospital payments to qualifying hospitals.

Requests limits on utilization of non-emergency transportation under the ABP SPA.

This SPA increases the number of face-to-face encounters/visits included in the all-inclusive rate paid to Indian Health Service and Tribal 638 facilities from three to five.

This SPA extends the primary care physician rate increase provided for by section 1202 of the Affordable Care Act to June 30, 2015.

This SPA amdnds reimbursement for outpatient hospital services effective July 1, 2014.

This SPA provides Psychiatric Emergrency Rehabilitation Servicesto individuals experiencing a behavioral health crisis.

This SPA Implements a limited Patient Centered Medical Home Program.