Amends the Alternative Benefit Package for the new adult expansion group to account for programmatic changes made to the State Plan in 2015, subsequent to its original approval including services provided through the Community First Choice State Plan Option approved in WA-15-0012.

Implement changes to the current reimbursement methodology for nursing facilities, psychiatric residential treatment facilities and intermediate care facilities for individuals with intellectual disabilities.

Allows Indian Health Centers to receive the Indian Health Service all-inclusive encounter rates for eligible services provided.

Modifies the State's reimbursement methodology for setting payment rates for nursing facility services.

Incorporates the MAGI-Based Eligibility Group into TN's State Plan.

To amend the provisions in the LA Medicaid State Plan governing Federally Facilitated Marketplace eligibility determinations to become an "assessment" state and only accept eligibility accessment from the FFM rather than accepting Medicaid eligibility determinations made by the FFM.

To amend the inpatient hospital methodology to reinstate the additional reimbursement for hemophilia blood products purchased by non-rural non-state acute care hospitals.

Proposed to increase the fixed dollar amount for Parent/Caretaker Relatives and includes an update to the maximum income standard which will increase the amount each year according to the Consumer Price Index for urban consumers.

Purpose of the SPA is to align state plan authority for managed care, with the 1915(b) amendment approved on August 25, 2015. SPA No. 15-0004 requires mandatory enrollment into physical health for children with special healthcare needs eligible through a subsidized adoption; individuals eligible for coverage through the Breast and Cervical Cancer Prevention program, and carves in hospice services and non-emergency transportation provided by ambulances into the physical health benefits package for the special needs children and American Indians/Alaskan Native populations.

Medicaid day-one-incentive payments to county nursing facilities, for posting to Medicaid.gov.