Updates Indigent Care Agreement DSH pool dollar amount available to hospitals with an approved agreement between themselves and a partner health care related entity in the area.

Supplemental payments to hospitals operated by health and hospital corporation.

Modifies the State's payment methodology for psychiatric residential treatment facilities for children and youth.

Hospital reimbursement adjustments related to potentially preventable readmissions and potentially preventable complication.

Reduces charity care subsidy disproportionate share hospital payments.

Updates payment methodology for primary care services for certain providers, and updates the pediatric subspecialty program by adding Child Abuse Pedi program by adding Child Abuse Pediatrics to the program.

Increases reimbursement rates for private duty nursing services.

Reduces the original rate increase for DDA TCM providers.

This SPA implements the Affordable Care Act changes for citizenship and non-citizen eligibility, verifying the reasonable opportunity periods to provide verification of citizenship.

Revises the durable medical equipment fee schedule.