Updates the state plan to reflect existing practices in determining eligibility of persons who qualify as medically needy to update optional state supplemental payment standard, and to update the allowed exemption amount for irrevocable burial trusts.

Updates the reimbursement methodology for privately-owned inpatient hospital psychiatric services.

Revises reimbursement for inpatient psychiatric services.

Revises APR-DRG inpatient hospital reimbursement rates for neonatal intensive care services.

Revises the reimbursement for inpatient hospital services.

Medicaid eligibility coverage for those effected by Flint water system (Children 0-21 & Pregnant women).

The purpose of this SPA is to amend the provisions governing disproportionate share hospital payments to reduce the payments made to non-rural, non-state acute care hospitals for inpatient psychiatric services.

Hospice Rates 2016.

Allows enrollment of marriage and family therapists as Medicaid providers.

The proposed amendment will modify the reimbursement methodology in the State Plan to add an overall spending requirement and adjust payment rates for non-state operated Intermediate Care Facilities for Individuals with Intellectual Disabilities.