This SPA transmitted a proposed amendment to your approved Title XIX State plan to elect the option provided by §214 of the Children's Health Insurance Program Reauthorization Act of 2009, Public Law 111-3. This option provides States, at their option: to grant full Medicaid coverage to all otherwise eligible alien children or pregnant women fully residing in the United States.

This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to revise the payment methodology for all hospitals for outpatient services to comply more closely with Medicare OPPS 2011 payment provisions.

This SPA transmitted a proposed amendment to your Agency's approved Title XIX State plan to implement the Resource Based Relative Value System (RBRVS) as a reimbursement methodology for certain providers of services within the State's Medicaid fee schedules.

This SPA transmitted a proposed amendment to Vermont's approved Title XIX State Plan to implement nonpayment provisions for healthcare acquired conditions/provider preventable conditions as required by 42 CFR 447.26.

This SPA transmitted a proposed amendment to Vermont's approved Title XIX State Plan to revise the payment methodology for all hospitals for outpatient services to comply with Medicare OPPS 2011 payment provisions. A two-tiered rate structure will continue to pay the standard rates for each APC to out-of-state hospitals and an enhanced rate to in-state hospitals.

This SPA transmitted a proposed amendment to Vermont's approved Title XIX State Plan to implement Section 2301 of theAffordable Care Act with respect to payment for free-standing birth center services.

This SPA transmitted revisions to reimbursement language for transportation and therapies, and clarifications to coverage language for home health, private duty nursing, therapies, hospice, respiratory care, and certified pediatric/family nurse practitioner services.

This SPA proposes a maximum allowance reimbursement methodology for the administration of physician injectable drugs.

This amendment define Georgia's managed care program by adding refugees as an eligible group; increasing the time frame for recipients to choose a health plan from fifteen to thirty days; and by incorporating quality and cost weighted scoring within the auto-assignment algorithm.

This amendment establishes the reimbursement rate paid to providers for administering the H1N1 influenza vaccine, and other vaccines provided at no cost to the provider, for adults over twenty-one (21) years of age.