This amendment proposes to revise the payment methodology for Nursing Facility Care services.

This amendment proposes to revise the inpatient hospital reimbursement methodology for determining disproportionate share hospital payments.

This SPA This SPA reflects changes in pharmacy coverage required by Section 175 of the Medicare improvement for Patients and Providers.

This amendment revises the reimbursement for home based private duty nursing services.

This SPA modifies the state's reimbursement methodology for setting payment rates for nursing facility services.

This amendment provides an extension to the sunset provision to continue cost settling the clinical diagnostic lab services provided in the outpatient hospital setting through September 30, 2010.

This SPA add reimbursement language to following services: Other Laboratory and X-ray services; Early and Periodic Screening, Diagnosis and Treatment Screening Services (EPSDT), Family Planning Services, Supplies and Preventive Services.

Medicaid Recovery Audit Contractor Program.

Public Assistance Reporting Information Systems.

Increases the Federal Poverity Guidelines for various poverty level groups.