This SPA amendment suspends the existing supplemental Medicaid payment for Urban Safety Net Providers who render primary care services to Medicaid clients.

Suspends the existing supplemental Medicaid payment for inpatient hospitals for health care services that provide reimbursement for incompensated care costs related to Medicaid and Colorado Indigent Care Program clients.

Suspends the Supplemental Medicaid Rural Hospital Payment to rural hospitals located outside a federal designated Metropolitan Statistical Area with 60 or fewer beds that provide inpaitent hospital services to Medicaid and low-income populations.

Suspends the Public Hospital Payment for Public Hospitals that are State owned and non-State owned government hospitals that provide inpatient hospital services to Medicaid and low-income populations.

Modifies the nursing facility reimbursement methodology.

This SPA implements a simplified process for clients to apply for Medicaid using express lane eligibility.

Add TWWIIA Basic Coverage Group as a new eligibility category

State is seeking an exception to the January 1, 2012 implementation date described in theFinal Rule.

Inpatient Hospital Reimbursement, Rate Reduction.

Modifies the reimbursement methodology necessary to comply with CMS' regulations specific for provider preventable conditions.