Reimburses a $250 add-on payment to hospitals in rural counties (populations less than 35,000) for every newborn delivery.

Medicaid rehabilitative services - early and periodic screening, diagnosis, and treatment (EPSDT) mental health services.

To revise the payment methodology for nursing facility services.

Updates the fee schedule for all Physician Administered Drugs.

Increases the fee schedule rates for Licensed Behavior Analysts and Licensed Assistant Behavior Analysts.

Alignment with Section 1557 of the ACA as Implemented by Final Rule." SPA PA-16-0029 amends Attachment 3.1.A/3.1B, page iii, to align with Section 1557 of the Affordable Care Act as implemented in the final rule, "Nondiscrimination in Health Programs and Activities," issued by the United States Department of Health and Human Services, Office of Civil Rights on May 18, 2016. Specifically, the final rule at 45 CFR § 92.207, prohibits covered entities (which includes state Medicaid programs) from imposing categorical coverage exclusions for services related to gender transition.

Modifies the description of the populations that receive Non-Emergency Medical Transportation (NEMT) services.

Provides additional payment rates for chemical dependency services provided in a residential setting to certain high-need recipients, including those who are civilly committed.

Adds psychosocial rehabillitation services as a covered service under the Medicaid Rehabilitation Option program.

Updates state plan to reflect current RAC vendor & contingency rates.