Updates the Michigan Department of Community Health Indigent Care Agreement DSH Pool Eligible Hospitals and Allocations Appendix B.

This SPA changes the state from accepting eligibility assessment to accepting eligibility determination for Medicaid made by the Federally Facilitated Marketplace.

This state plan amendment (SPA) revises the provisions governing FQHC service limits in order to remove the 12 visits per year limit for Medicaid recipients 21 years of age and older.

This amendment proposes to implement an outlier for ICF/IIDs that are qualified to accept ventilator dependent individuals under the age of 22 years.

This state plan amendment updates the Texas Attorney General certification and updates the Texas Medicaid administration.

This amendment revises the cost settlement for outpatient services performed at Vidant Medical Center (previously known as Pitt County Memorial Hospital) to 100 percent of allowable costs.

The proposed amendment implements carious changes to the inpatient hospital services reimbursement methodology.

This SPA changes the retroactive effective date of eligibility for all eligibility groups except Qualified Medicare Beneficiaries from the date of eligibility/application to the first day of the month of eligibility/application under the Medicaid State plan.

This amendment proposes to increase each private nursing facility's existing "Low Level of Care" rate by 4 percent.

This amendment provides the terms upon which the state will collect supplemental rebates from drug manufacturers.