Qualifications for Disproportionate Share Hospital.

This SPA restructures and relocates language outlining provider cost reporting, auditing, and record maintenance requirements, as well as provider appeal rights.

Payment to specialty Hospital for Medical Services.

Payment to General Hospital for Inpatient Hospital Services.

This SPA adjusts reimbursement to dental services, including; adding certain Current Physician Terminology codes to the dental fee schedule for radiology and oral and maxillofacial surgery.

This SPA revises the reimbursement methodology for comprehensive Health Home services provided to adults and children with significant mental health and co-occurring diagnoses.

This SPA expands coverage for licensed behavioral health clinician services (licensed psychologist, licensed clinical social workers, licensed marital and family therapists, licensed alcohol and drug counselors, and licensed professional counselors) to Medicaid beneficiaries age twenty-one and older.

This SPA enables reimbursement for administration of influenza vaccines within family planning clinics.

This SPA revises the reimbursement methodology for orthotic devices when used as part of physical and occupational therapy services.

This SPA revises reimbursement for physicians and other practitioners who bill using the physician, psychologist or behavioral health clinician fee schedules to establish a separate fee for procedures that have an established Medicare facility fee using the same percentage difference as Medicare for facility based services.