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Amends the provisions governing Early and Periodic Screening Diagnosis, and Treatment Services to include Applied Behavior Analysis Services for individuals under age 21 with Autism Spectrum Disorder.
This SPA revise the APR-DRG from version 31 to version 32. In addition, the amendment proposes to: increase the base inpatient DRG rate paid to hospitals, provide for an additional add-on payment for trauma centers, adjust the outlier marginal cost percentage, and provides for additional funding for the Statewide Residency Program.
Describes the methodology used by the state for determining the appropriate Federal Medical Assistance Payment rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state.