Revises the standard to qualify for bariatric surgery and bases reimbursement on the two hospitals in the state that provide this service.

Sets reimbursement for services provided in a freestanding mental health facility at 91 percent of the Medicare rate for dates of service the participant is a resident of the facility.

Payment for services: Targeted Case Management services provided to individuals with intellectual disabilities.

Updates the payment pool amount for the various payments pools for disproportionate share hospitals.

Updates the payment pool amount for direct graduate medical education.

Updates language and re-insert text that had been inadvertently omitted form attachment 301 A&B.

This SPA clarifies that mental health services provided in an Intermediate Care Facility for Addictions are reimbursed as part of the JCF-A provider's per diem rate and not separately.

Updates the reimhbursement methodology of CFC.

Modifies the cost report used for the Drug Medi-Cal Program and ensures the state-developed cost report is in a format that meets CMS's reimbursement requirements for cost-based methodology.

This SPA defines the family size under MAGI methodology as counting a pregnant woman as one person when determining the family size of other individuals in the pregnant woman's household.