This SPA inserts a website and effective date for the current Medi-Cal fee schedule into the State Plan.

To ensure that same sex maggiages ude the same rules as those for opposite sex marriages when determining eligibility for Medicaid programs not based on Modified Adjusted Gross Income methodologies.

This amendment establishes reimbursement for non-state Psychiatric Medical Institutions for Children (PMICs) services through the use of provider specific per diem rates, consistent with the Iowa Plan for Behavioral Health.

This SPA clarified the policy for Federal Qualified Health Centers (FQHC's) to request a rate adjustment for a change of scope of services.

This SPA clarified the policy for Rural Health Clinics (RHC's) to request a rate adjustment for a change of scope of services.

This amendment updates the prosthetic devices section to include surgically implanted devices for cataract patients, ostomy bags, and breast prostheses in American Samoa's State plan.

This amendment increases aggregate payment rates by 2.25% for nursing facility and intermediate care facility for individuals with intellectual disabilities services.

Revises Vermont's Alternate Benefit Plan.

This amendment extends an outpatient hospital reimbursement rate reduction effective for claims with dates of service through September 30, 2015.

This SPA the optional state supplement standards for special income level groups consistent with the published 2015 federal poverty levels.