Extends the Quality and Efficiency Incentive Program to June 30, 2016, and reduces the Medicaid nursing facility rate from the 63rd percentile to the 55th percentile.

Terminates Ohio's Enhanced Care Management Program.

Reimbursement update for Inpatient Hospital Supplemental DSH.

Reimbursement update for the payment for clinic services.

This SPA specifies the dental benefits provided by Puerto Pico Medicaid Program to children under 21 years and beneficiaries over 21 years old.

Payment for services Professional fee schedule updates.

This amendment implements a budget-neutral rebasing of inpatient hospital payment rates.

Revises reimbursement methodology for NF and ICF/DD services.

Updates the single streamlined paper application to align it with the state's new enrollment system.

To extend the program to include Albany, Erie, Cayuga, Chautauqua, Nassau, Niagara, Chemung, and Westchester counties.