This SPA establishes an additional DSH payment adjustment to qualifying hospitals that serve indigent populations of cities with an average per capita income significantly below statewide averages.

This SPA adopts a prospective payment system for Maryland nursing facility services based on actuity adjusted resource utilization groups and reimburses capital costs through fair rental value.

This SPA restructures and relocates language outlining provider preventable conditiona.

This SPA establishes that one or more qualified hospitals are determining presumptive eligibility, and that the state is providing coverage for individuals determined presumptively eligible, in accordance with the Affordable Care Act.

This SPA amendment will enable the District to extend Transitional Medicaid from two six month periods to one twelve month periodl; thus, enabling families with low incomes the opportunity to retain Medicaid without a lapse in coverage.

This amendment aligns the populations authorized through the State Plan versus 1115 waiver to include pregnant women eligible under 42 CFR 436.116, children eligible under 42 CFR 425.117 and 42 CFR 435.118, and presumptively eligible pregnant women.

This SPA incorporates the 2015 HCPCS changes with pricing, to the following fee schedules; Ambulatory Surgical Centers, Family Planning Clinics, Medicaid Clinic, Mental Health and Substance Abuse Clinics, and Dialysis Clinics.

This SPA proposes to reimburse for specified services and vaccine administration provided under the Vaccines for Children program provided by certain primary care physicians at 100% of calculated 2014 Medicare facility and non-facility rates.

This SPA proposes to eliminate coverage exclusions of "transexual surgery" and related services in the inpatient hospital and physician services section of the State Plan.

This SPA proposes to increase the fees paid to home health agencies by 1%.