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SC-12-025

This SPA eliminates outpatient hospital retrospective cost settlements for most hospitals as well as updates the hospital specific outpatient multiplier.

VA-14-021

This SPA replaces the existing DRG classification system for inpatient hospital services with a more refined grouper that recognizes the differences in severity of illness - the 3M APR-DRG.

IN-15-007

This SPA makes changes to the State Plan to document the State's Collection of Federal Medical Assistance Percentages (FMAP) funds available for expenditures for medical assistance furnished to individuals enrolled in the new adult group created by the Affordable Care Act.

ND-14-017

This SPA will allow the state to use MAGI-based income methodologies for determining medically needy eligibility for pregnant women, children and caretaker relatives.