Updates the State plan to provide for a three percent inflationary rate increase for Medicaid services rendered by Intermediate Care Facilities for the Mentally Retarded.

Updates the State plan to define the email payment pool amount for supplemental payments made to ICF/MR proveiders.

Updates the State plan to provide for a three percent inflationary rate increase for prospective payment system, psychiatric and rehabilitation hospitals.

Amends the State plan to define nursing facility evacuation payments as a result of a flood disaster.

Updates the fee schedule for the psychiatric service component of the all-inclusive rate for psychiatric residentual treatment facilities.

Implements legislative funding increases for nursing facility reimbursement; Updates the rules to reference the current fiscal year.

This SPA clarifies the availability of dental services and extended services to pregnant women.

Updates non-emergency medical transportation to a brokerage provider model and terminates 1915 b 4 NEMT waiver.

Establishes supplemental reimbursement for public high-valume Medicaid hospitals for uncompensated inpatient hospital care costs provided to Medicaid recipients.

Modifies the methodology to Wyoming's Medicaid State Plan for nursing facility reimbursement.