This SPA freezes rates for SFY 2016 for inpatient hospital, long-term care facility, nursing facility, federally-qualified health care centers, and the infant learning targeted case management at SFY 2015 levels.

Revises reimbursement methodologies for inpaitent hospital access payment rates and reorganizes the state plan to make information flow more logically.

To allow licensed dental hygienists to bill directly for services when working under a collaborative agreement with a licensed dentist in the State of VT.

Updates reimbursement through a provider rate increase, and provide updated reimbursement for add-on payments for Direct Care Wages and Health Insurance for Health Care Workers.

Extends an additional year rate augmentation payments to emergency air medical transportation providers for services rendered in the 2015-2016 rate year.

Revises the payment methodology for nursing facility services.

Clarifies the reimbursement methodologies for claims paid under the fee-for-service Prescription Drug Program and describes the reimbursement methodology for drugs paid under the Physician Services program.

Revises methodologies and standards for determining payment rates by increasing payments for family planning and dental services and intermediate care facilities for persons with developmental disabilities using a prospective rate setting methodology.

Payment for services Home Health aide services.

This SPA amends supplemental payment related to medical education costs for various provider types, including enrolled hospital, medical center, clinic, practioner,or other organization that provides accredited clinical training of; physicians (medical students and residents), doctor of pharmacy practitioners, doctors of chiropractic, dentists, advance practice nurses and physician assistants, and effective July 1, 2015 dental therapists, advanced dental therapists, psychologists, clinical social workers, community paramedics, and community health workers.