Revise the reimbursement methodology for obstetrical services. To improve access to obstetrical services. To Increase reimbursement rates for vaginal deliveries and related care.

ACO Shared Savings Program.

Rural Health Clinic reimbursement for Long Acting Reversible Contraception (LARC) and Non-surgical Transcervical Permanent Female Contraceptive Devices separate from the per visit rate.

This SPA proposed to use the authority of $1902(r)(2) and 5 193 1 of the Social Security Act (the Act) to disregard, for certain Medicaid eligibility groups, all wages paid by the U.S. Census Bureau for temporary employment related to decennial activities.

Increases the optional State supplementary payment levels.

Revises the reimbursement methodology for outpatient hospital services for fiscal year 2010.

Extends Transitional Medical Assistance (TMA) coverage for individuals that received Section 1931 eligibility for at least one of the previous six months from an initial period of six months to a full twelve month period of initial eligibility.

This option allows States to provide full Medicaid coverage to otherwise eligible alien children or pregnant women lawfully residing in the United States.

Pays for inpatient hospital stays beyond 24 days at $400.00 per day.

Revises the way the state's disproportionate share hospital allotment is distributed among eligible hospitals.