Three percent rate reduction for end stage renal dialysis facilities.

Three percent rate reduction for anesthesiologists, anesthesiologist assistants, & CRNA.

The proposed amendment updates the Medicaid fee schedules for home health services and vision services.

Adds emergency ambulance telehealth as a new service.

Mental Health Rehabilitation and Targeted Case Management. Updates the payment methodology for Mental Health Rehabilitative Services by including effective date language.

To clarify that both licensed and certified programs may provide early and Periodic Screening. Diagnosis, and Treatment EPSDT Rehabilitative Substance Use Disorder services.

The transferring hospital will be paid the lesser of the calculated transfer fee or the Diagnosis-Related Group (DRG) base payment amount for the non-transfer case.

Continues to allow primary care physicians and physician extenders that practice in family medicine, general internal medicine, obstetrics/gynecology, and pediatric medicine to receive a rate increase for certain primary care services to 100% of the Calendar Year 2014 Medicare physician fee schedule.

Coverage & Limitations and Payment - Dental Services.

This SPA will increase certain occupational and physical therapy service codes to 80% of the Calendar Year 2014 Medicare fee schedule.