This plan amendment updates the outpatient hospital multiplier.

This SPA proposes to increase income eligibility for the Aged, Blind, and Disabled to 177 percent of the US Virgin Islands Poverty Level.

This SPA clarified Federally Qualified Health Center (FQHC) encounter limitations and exceptions, clarified the provision of "other ambulatory services," and identified provider types and qualifications of who may provide FQHC services.

This SPA clarified Rural Health Clinic (RHC) encounter limitations and exceptions, clarified the provision of "other ambulatory services," and identified provider types and qualifications of who may provide RHC services.

This SPA updated the effective date of the dental services fee schedule.

To amend the State Plan to amend Physical Therapy, Occupational Therapy, and Services for Individuals with Speech, Hearing and Language Disorders in order to establish coverage criteria, provider qualifications, service limitations and reimbursement methodology for Hippotherapy.

Removes Provisions for Psychologist Services.

This SPA amendment is to amend the coverage language regarding medical or other remedial care provided by licensed practitioners to include Physician Assistants.

This state plan amendment makes corrections to the citations and page format for PACE pages of the State Plan, per companion letter with SPA #15-0007 that adjusted rates for personal care services.

The SPA allows primary care physicians and physician extenders that practice in family medicine, general internal medicine and pediatric medicine to receive increase payment for certain primary care services effective July 1, 2015.