Allows for payment of enhanced rates for codes directly related to implants or insertion of Long Acting Reversible Contraceptives.

Allows the State to add the Medicaid Expansion enrollies, who have been determined Medically Frail, and who have chosen the Traditional Medicaid Coverage, to the list of groups who are exempt from mandatory enrollment in the PCCM program.

Modifies the State's reimbursement methodology.

Updates the language regarding coverage for the Designated Emergency Mental Provider/Emergency Service Program.

Medicaid Professional Fee Schedule Update.

Specifies options for presumptive eligibility conducted by hospitals according to the Patient Protection and Affordable Care Act.

Reduces the outpatient hospital prospective payment system rate for the use of a hospital outpatient facility by visiting dentist.

Updates the effective date of the Outpatient fee schedule and reflected the annual change to the hospital conversion factors.

This SPA revises and updates the readmission policy related to inpatient hospital stays by adjusting calendar year payments based on each hospital's readmission results from the previous state fiscal year.

Describes the fee schedule payments for Long Term Care and Rehabilitation hospital facilities.