This amendment includes a reminbursement methodology to cost settle covered laboratory services rendered by Local Health Departments to Medicaid recipients, not to exceed the Medicare Laboratory Fee Schedule.

Amends the provisions governing children's behavioral health services in order to narrow the statewide management's scope of service administration to coordinated system of care services only and to delegate provider certification functions to managed care organizations if the Department chooses.

This SPA Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

Medicaid MAGI-Based Eligibility Groups.

Revises Medical Assistance coverage of acupuncture services to expand coverage beyond the treatment of chronic pain to include all conditions for which the state determines acupuncture is medically necessary.

This SPA updates the effective dates for the fee-for-service rates for the Children's Behavioral Health Initiative.

Updates the reimbursement methodology for independent laboratory and X-ray services.

This SPA adds dentists and dental hygienists with an expanded practice permit to supervise non-licensed health workers under the Medicaid State Plan.

Revises the Texas Health and Human Services Commission's potentially preventable events program.

Revises the state plan definition of inpatient hospital services to include outpatient services that are provided within the 3 calendar days prior to an inpatient hospital admission.