Increases the transitional Medicaid per diem rate in effect on September 30, 2014, by $1.85, for Intermediate Care Facilities for Individuals with Intellectual Disabilities.

This SPA allows an add-on flat fee payment to the per diem for complex care for Medicaid recipients in private and non-state Intermediate Care Facilities for Individuals with Intellectual Disabilities.

This amendment provides for a per diem increase to nursing facility and H IV nursing facility reimbursementrates by granting a one dollar and twenty-five cents ($1.25) increase to the current per diem rate\effective for dates of service beginning July 1, 2014.

Transitions the inpatient hospital reimbursement methodology to one based on the all patient refined diagnosis related groups.

Increases personal care services rates in order to maintain an adquate, qualified and stable work force of personal care attendants for Medicaid beneficiaries.

Amends the methodology for Disproportionate Share for Hospitals by diminating the mental health emergency room extensions pool payments for non-state acute care hospitals.

Indicates State Recognizes Same-Sex Marriages for Purposes of Medicaid Eligibility.

Describes Medicaid Requirements Related to Citizenship and Non-Citizen Eligibility.

Amends MAGI-Based Eligibility Group Options for Coverage of Individuals Eligible for Family Planning S59 by Increasing Maximum Income Standard to 200% FPL.

Describes Single State Agency's Delegation of Appeals and Determinations in Accordance with Affordable Care Act and Updates State's Organizational Structure.