Limits bitewing x-rays to only one visit per year for all Medicaid beneficiaries.

Updates Ohio's Disproportionate Share Hospital Program Payment Methodology for the Hospital Care Assurance Program for Acute Care General Hospitals.

Nursing Facility Services, Outlier Services, Cost Sharing, Payment During Appeals.

Modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services.

Revises the state's readmission policy for inpatient hospital services.

This SPA replaces obsolete language pertaining to outpatient hospital reimbursement methodology used in State Fiscal Year 2015, replacing it with reimbursement methodology for state Fiscal Year 2016.

Covers the adult eligibility group under the Medicaid State Plan.

Incorporates a 1.65 percent inflationary increase for inpatient hospitals services for State Fiscal Year 2016.

Provides for services rendered by Medicaid providers.

Updates the state's vaccine administration methodology and also correct pagination on the related reimbursement pages.