This SPA amends the Medicare-Medicaid Coordinated Plan (MMCP) Alternative Benefit Package (ABP) to reflect the MMCP's expanded geographic availability to forty-two (42) of Idaho's forty-four (44) counties. The coverage exceptions are Lemhi and Franklin Counties.

The proposed amendment updates the physicians' and other practitioners' fee schedules.

Establish Inpatient Hospital Reimbursement Grouper System.

Outpatient Disproportionate Share Hospital (DSH) Increase - Value Based Pool.

This SPA adds reserve bed and therapeutic leave days as a reimbursable service in psychiatric residential treatment facilities (PRTF).

The purpose of this SPA is to amend the State's approved Title XIX State Plan to amend reimbursement and add criteria for consideration of a change in scope of services provided by Federally Qualified Health Centers and Rural Health Centers. This SPA is estimated to be cost neutral.

The purpose of this SPA is to amend the provisions governing RHC service limits in order to remove the limits for Medicaid recipients 21 years of age and older.

The proposed amendment deletes obsolete language and updates Medicaid payments for services under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program physician and private duty nursing fee schedules.

This designates Stephen P. Miller, Commissioner of the KY Department for Medicaid Services, as the Governor's designee for review and approval of state plan amendments.

This SPA makes revisions to the reimbursement methodologies for the Short-Doyle/Medi-Cal acute inpatient services and Short-Doyle/Medi-Cal outpatient, rehabilitation, case management and other services.