Expands coverage of Medicaid services provided via telemedicine.

Is an annual upate to the DDRG parameters, which includes updating the wage area neutrality adjustment, setting the labor share percentage for hospitals with a wage area index equal to or less than 1.00 to 62% and updating the Remote Rural and Statewide DRG BAse Price, Outlier Thresholds and Outlier Percentage Upper Bound, Discharge Status Values, and the DRG and HAC Grouper versions.

Updates the effective date of audiology rates to July 1, 2016.

Updates the effective date of chiropractic service rates to July 1, 2016.

Hospice Payment Methodology, which provides for the two-tiered Rountine Home Care and Service Intensity Add-on payments as required by CMS final rule CMS-1629-F, titled "Medicare Program; FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Reporting Requirements" at 12 FR 47142 (Final Rule).

Modifies Idaho's Healthy Connections Primary Care Case Management Program by creating a new tier-based case management fee structure with four distinct payment tiers that vary in amount and increase by tier based upon qualifying criteria.

Adds a reimbursement methodology for coma procurement.

This SPA revised the payment methodology for Rate Year 2015 for acute hospital outpatient services.

Removes specific geographic references as the state will phase in additional counties in accordance with Section 1945 of the Act and state specific criteria.

Adds additional chronic care conditions as qualifying conditions for Primary Care Health Home participants.