This SPA proposes to increase the fee for billing code HCPCS J7300 (intrauterine copper contraceptive; Paragard IUD).

This SPA proposes to add procedure code 90688 (influzenza virus vaccine, quadrivalent, split virus, when administered to individuals 19 years of age and older, for intermuscular use).

This SPA proposes to reimburse outpatient hospitals for providing group counseling for tobacco cessation.

This amendment increases aggregate payment rates by 2.25% for all inpatient hospital services excluding Critical Access Hospital services.

This amendment proposes to revise the NY single-state Medicaid Supplemental Rebate Agreement (SRA) to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.

This SPA proposes to implement an evidence-based payment methodology for the reimbursement of nursing services provided in nursing facilities, using the 48-Group, Resource Utilizations Group IV classification scheme and weights published by The Centers for Medicare & Medicaid Services.

This SPA increases 2015 funding for disproportionate share hospital payments to certain acute care hospitals that further Pennsylvania's goal of enhanced access in economically distressed areas.

This SPA updates and amends pharmacy coverage and reimbursement sections of the state plan.

This SPA establishes a home & community based services (HCBS) program under the 1915(i) state plan option for Applied Behavioral Analysis services concurrent with the Specialty Support Services 1915(b) waiver under a capitated contract reimbursement methodology.

This SPA increases the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.