This State plan amendment (SPA), OR 15-0005, supersedes OR 13-0015, which was approved on April 8, 2015, except for the AG certification and the organizational chart. The approval package for OR 15-0005 includes A1-A3 (8 pages). OR 15-0005 supersedes the following OR-13-0015 pages: A1-A3 (9 pages). However, the AG certification and the organizational chart approved in OR-13-0015 remain in effect.

This State Plan Amendment implements a home maintenance allowance for institutionalized individuals.

This state plan amendment updates the description of EPSDT rehabilitation services.

This transmittal describes the single state agency's delegation of appeals and determinations in accordance with the Affordable Care Act and updates the state's organizational structure.

This SPA transitions the state from the Federally Facilitated Marketplace to a State-Based Marketplace. This SPA also updates the single state agency's delegation of appeals and determinations in accordance with the Affordable Care Act.

This amendment clarifies that Psychiatric Treatment Facilities for Children and Youth (PRTF) providers are permitted to access medically necessary drugs by utilizing fee-for-service pharmacies beginning with the date a child is determined Medicaid eligible.

This SPA increases the DDA TCM reimbursement rate by 3% as well as updates Supplement 7 to Attachment 3.1A language to more accurately describe the provider application process.

The purpose of this SPA is to amend the State's approved Title XIX State Plan to update the state's Preadmission Screening and Annual Resident Review (PASRR) methodology to align it with the state's PASRR manual. This SPA is cost neutral.

This SPA adds Erie County Medical Center to the list of Eligible Providers regarding supplemental payments to5certain professional practitioners. These supplemental payments are applicable only to the professional component of the eligible services provided.

Reducing NF rates and revising the phase-in schedule of price-based RUGS.