Reimbursement rate modification.

Revises Ohio's Disproportionate Share Hospital Program payment methodology for the hospital care Assurance Program for general acute care hospitals in order to prespectively accommodate the inpaact of Medicaid expansion on Ohio Hospitals.

Authorizes Illinois in Include Optometrist Services Under Physician Services.

Prohibits Illinois from making payments for items or services provided under the State plan to any finanial institution or entity located outside of the United States.

Specifies the Tribal Consultation Process for Illinois Medicaid and CHIP Program Changes.

This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.

Medicaid Disproportionate Share Hospital Audit and Report Information.

Methods and standards for establishing payment rates, other types of care and prescribed drugs.

The State specifies its current coverage for active pharmaceutical ingredients (API)s and excipients under the Prescribed Drug section of the Medicaid State Plan.

Inpatient Psychiatric Facility Services for individuals under 21.