Modified Adjusted Gross Income Eligibility.

Payment for evaluation & management services and vaccine administration services for eligible primary care providers.

Provides facility services. with prior authorization to recipients 21 years or older who meet nursing facility level of care as determine by the Medicaid Agency.

Provides supplemental payments for obstetrical providers based on quality performance measures qith points specified in the SPA for each measure.

Methods and standards for establishing payment rates for EPSDT services

Increases the eligibility level for full-scope Medicaid coverage for pregnant women from 60% of the Federal Poverty Level up to and including 109% of the Federal Poverity Level in CA's Medicaid State Plan.

Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

Reflects changes in outpatient therapy service limits for occupational, physical and speech therapy by increasing the duration of the limits before prior authorization is required.

Updates the State Plan to remove the bundled rate for residential rehabilitation services for children in certain out-of-home placements.