This SPA amends provisions governing the reimbursement methodology for inpatient hospital services rendered by children's specialty hospitals to revise the reimbursement methodology and establish outlier payment provisions.

This amendment redefines the period of transitional rates from three to four years for public Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) that are transitioning to a private provider.

This SPA continues making enhanced payments to primary care providers.

Updates the Attorney General Certification.

Proposed to eliminate coverage for Medicaid covered outpatient prescription over-the-counter drugs for beneficiaries who are twenty-one years of age and older.

This amendment proposes to amend the reimbursement methodologies for nursing facility and private intermediate care facilities for the mentally retarded (ICF/MR) services. mentally retarded (ICF/MR.) services.

This amendment ends the current Uncompensated Care and Urban DSH programs.

This amendment eliminate the October 1, 2011 and October 1, 2012 annual adjustment factors (inflation increases) of 2.2% and 2.7%, respectively, which is applied to the cost per inpatient discharge rate for each hospital.

This amendment revises the reimbursement methodologies for various inpatient settings to support the transition from a 191S(b) managed care waiver delivery method to an Administrative Service Only (ASO) fee-for-service delivery model.

This amendment will cover smoking cessation counseling and medications for all Medicaid clients.