This SPA clarifies CO's methodology for payment of Medicare Parts A and B crossover claims.

Revises Targeted Case Management for beneficiaries with Intellectual Developmental Disabilities.

Increases the aggregate amount allocated for payments from the Indigent Care Agreement disproportionate share hospital pool and updates the individual hospital allocation amounts as identified in the state plan.

This SPA extends a 5% reduction in Medicaid payments for Nursing Facility services and a 3% reduction in Medicaid payments for Intermediate Care Facilities for the Developmentally Disabled services. This SPA reduces the NF reduction at 3% and reduces the ICF/IID and CRF/DD reduction to 1%.

Inpatient hospital services. This SPA clarifies how the potentially preventable readmissions policy will be implemented for state fiscal year 2014 and each year thereafter.

This SPA eliminates the add-on reimbursement for delivery of psychiatric rehabilitation services to individuals with mental illness residing in nursing facilities, which was $10 per day.

Provides inpatient supplemental payment to providers that meet specified Medicaid inpatient utilization rate thresholds.

Allows out of state trauma centers to be eligible for Trauma Center Adjustments; limits the Medicaid Percentage Adjustment payment $155 per day for a children's hospital and $215 for all other hospitals other than those hospitals organized under the University of Illinois Act; limits Direct Hospital Adjustment payments to $69 per day for Illinois teaching hospitals with 25 or more graduate medical programs that are affiliated with a Regional Alzheimer's Disease Assistance Center designated by the Alzheimer's Disease Assistance Act, that has an MIUR less than 25% on July 1, 1999, and provided 7

Implementary mandatory managed care for the adult aged, blind and disabled population in Cook County and the surrounding border counties.

Amends coverage language to allow other licensed practitioners of the healing arts to prescribe occupational therapy services as described under the special rehabilitative services section.