Decreases Personal Needs Allowance for Residents of Long-Term Care Facilities Who Receive Medicaid.

Prohibits Payments by State Medicaid Agency for Services Provided Under STate Plan or a Waiver to Financial Institutions or Entities Located Outside the United States.

To change the method of allocating Disproportionate Share Hospital funds recovered as a result of overpayments in order to reflect greater recognition of disproportionality.

Proposes to Reduce the Dispensing Fee from $2.00 to $1.70 for Medicaid Outpatient Prescription Drugs.

Revise the payment methodology for services provided by Nursing Facilities, Intermediate Care Facilities for the Mentally Retarded and Psychiatric Residential Treatment Facilities.

Change its prescription drug reimbursement methodologyfor select specialty drugs.

This SPA implements new outpatient hospital reimbursement methodology which will, on an interim basis, be based on a facility specific outpatient cost-to-charge ratio based on the facility's most recently filed cost report.

Decreases Reimbursement for Non-Emergency Ambulance Services.

Decreases reimbursement for air ambulance services.

Amends fees for selected services provided by certain primary care physicians to match 100% of Medicare rates for calendar years 2013 and 2014 and amends fees for vaccine administration under Vaccines for Children Program to match 100% of Medicare rates for calendar years 2013 and 2014.