Three Percent Inpatient Hospital Provider Rate Reduction.

Technical update to the list of over-the-counter medications.

Removes from the state plan a Prepaid Inpatient Health Plan as an entity with which the state will contract with for services.

Implements direct enrollment into managed care for all mandatory managed care eligible Medicaid recipients and establishes children under 19 in foster care or other in-home placement as a voluntary population in managed care versus an excluded population.

This SPA expands the types of vaccines and immunizations administered by pharmacists that can be reimbursed under the other licensed practitioner services benefit.

Revises the delivery system and payment methodology for chronic care (CC) health home services to reflect the move to statewide managed care.

Revises the delivery system and payment methodology for serious and persistent mental illness health home services to reflect the move to statewide managed care.

Updates the reimbursement rate for chemical dependency treatment services.

To add Hysterectomy, Appendectomy, Uncomplicated Pediatric Pneumonia and Urinary Tract Infection Episodes of Care.

Requests a one year exception to 42 CFR 455.502(b) contracting with Recovery Audit Contractor and expands the duties of the current Medicaid Integrity Contractor