This amendment will provide supplemental payments to eligible hospitals located within the District of Columbia that participate in the Medicaid program.

This amendment will permanently extend existing provider increases for certain primary care services provided by qualified physicians. In addition, this SPA would extend the rate increase for the same services when provided by psychiatrists, obstetricians/gynecologists, and advanced practice registered nurses.

This SPA updates the State Plan to replace the Cooperative Agreement between Maryland Medicaid and the Maternal and Child Health Agency signed August 2010 with the recently signed Agreement of August 2015.

The SPA implements the International Classification of Diseases, Revision 10 - Clinical Modification (ICD-10-CM) for hospital outpatient services.

Amends Attachment 4.19-B of the Medicaid State Plan to establish an Alternative Payment Methodology (APM) for reimbursement for Federally Qualified Health Centers (FQHC) that meet specified criteria for utilizing electronic consults ( e-consu Its) for specialty care. This SPA sets forth APM payments for dates of service from April 1, 2015 through June 30, 2016 to be equal to the FQHC's medical Prospective Payment System (PPS) encounter rate plus an additional add-on payment in accordance with a schedule based on the volume of e-consults described in the SPA.

This SPA replaces the state's methodology for setting inpatient rates for specialty hospitals certified by the New York Office for People with Developmental Disabilities (OPWDD) with a per-diem fee schedule.

This State Plan Amendment implements International Classification of Diseases Version 10 (ICD-10) for freestanding clinics in accordance with Federal requirements.

This SPA amended your Title XIX State plan to allow Licensed Behavior Analysts (BAs), Licensed Assistant Behavior Analysts (ABAs) and Behavior Technicians to provide services to treat autism spectrum disorder, and for BAs and ABAs to bill directly for these services.

Elimination of the add-on payment to hospitals and freestanding chronic dialysis centers.

Updates the Home Health Fee Schedule.