To reduce the nursing facilities rate in effect on June 30, 2012 by $32.37, followed by a rebasing of the rate effective July 1, 2012.

This plan amendment implements provisions for coverage and reimbursement methodology of fluoride varnishing applications for Federally Qualified Health Centers (FQHCs). The changes did not require tribal consultation.

To establish the state appropriation for Disproportionate Share Hospital payments to Federally Medicaid Statutory hospitals.

Updates inpatient hospital rates through a diagnosis related group and assigned relative weight update; revises inflation and weighting factors for purposes of calculating relative weights.

Revises reimbursement methodology for graduate medical education.

This SPA re-writes reimbursement provisions for nursing home services and recodifies this Amendment.

Eligibility irrevocable burial trusts.

This amendment specifies the qualifying criteria and payment methodology Delaware uses to determine payments to high cost outliers for inpatient hospital services.

Covers non-emergency medical transportation as a service.

Modifies citizenship documentation requirements to comply with the Deficit Reduction Act of 2005 and clarifies continuous Medicaid coverage for newborns.