This SPA implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

This SPA provides Behavioral Health Home Services to children under the age of 21 in Bergen County by enhancing the current care management team within the Care Management Organizations.

This SPA increases access to dental services for children by allowing Ambulatory Surgical Centers to perform certain dental procedures, as well as, updates the reimbursement language to the corresponding 4.19B pages to reflect fees equal to 80 percent of the current Medicare approved ASC facility fee.

This SPA adjusts reimbursement for Nursing Facilities.

This SPA clarifies language regarding North Dakota's personal care services.

This SPA updates the effective dates of rates paid for Applied Behavior Analysis services.

This SPA includes three new provider types for the newly covered Applied Behavior Analysis treatment.

This SPA eliminate the trend factor adjustment for 2014 in the calculation of rates for private psychiatric hospitals.

Extends Michigan's multi-payer demonstration project (MiPCT) through December 31, 2016.

This SPA reduces the amount of the state appropriation for the Disproportionate Share Hospital pool for federally mandated statutory hospitals from $2,000.000 to $1,000,000.