Adds Hospital PE implementation.

Exception to the Medicaid Recovery Audit Contractor (RAC) Program in accordance with Section 42 CFR 455.516.

Implements an outpatient prospective payments system for Medicare prospective payment system hospitals. Under the outpatient prospective payments system, services will be reimbursed using ambulatory patient classifications.

To increase the fee schedule rates for ambulance services.

Clarifies the authority and responsibilities of the Single State Agency and its relationships to other Federal and State Agencies,the fair hearings process, and the process for determining eligibility.

Implements new 1915(i) state plan provider rates per Assembly Bil (AB) X2-1 as follows; a five percent (5%) rate increase for supported living, independentliving, respite and transportation; survey-based rate increases for the purpose of enhancing wages and benefits for staff who spend a minimum of 75 percent of their time providing direct services to consumers and for provider administrative expenses; a new rate for community care facilities vendored to serve four or fewer concumers with Developmental Disabilities.

Coverage Limitations & Payment; Other Laboratory & X-ray Services.

This SPA makes technical and editorial changes and differentiate the reimbursement methodologies of hemodialysis and peritoneal dialysis treatments.

To Clarify the continuation of provisions that provide a rate adjustment to hospitals inspected by a merger or acquisition that were inadvertently omitted when NY split SPA 11-0024 in four separate amendments.

Incorporates transitional services for individuals under age 21 in Psychiatric Residential Treatment Facilities.