Adds substance abuse outpatient and residential treatment services for adults and children to the South Carolina rehabilitative services benefit and proposes bundled rates for these services.

Revises the quality incentive measures for nursing facilities and the related quality incentive payment methodology has been modified.

Revises the payment methodology for physician services provided in the Tribal outpatient hospital setting.

Allows qualified hospitals to determine individuals presumptively eligible for Medicaid based on preliminary information.

Alternative Benefit Plan - Adds community-based providers that are the same providers the State previously licensed for other levels of care, but will now be able to receive a license to operate additional levels of care.

Adds presumptive eligibility for parents and other caretaker relatives, pregnant women, infants and children under age 19, adult group, former foster children, and individuals eligible for family planning services; and Expands the definition of qualified providers to include acute care hospitals, psychiatric hospitals, community mental health centers, federally qualified health centers, rural health centers and local health departments.

Adds the state's policy of not paying for elective deliveries that are less than 39 weeks of gestation unless they are medically necessary.

This SPA replaces the name of the former Chairfor the Poarch Band of Creek Indians with "Tribal Chair."

Continues the suspension of direct medical education, indirect medical education, and catastrophic aid payments to qualified providers from the previous fiscal year.

Updates the reimbursement methods for acute inpatient hospital services for rate you RY 2014.