Updates the list of governmental hospitals in Appendix 1 to attachment 4.19-A to reflect a hospital name change and also prior hospital closures.

To clarify the definition of a change in the scope of services and the procedure for submitting a request for a rate adjustment due to a change in scope of service effective May 1, 2016.

To clarify the definition of a change in the scope of services and the procedure for submitting a request for a rate adjustment due to a change in scope of service effective May 1, 2016.

Updates the methodology for determining payment rates for skilled nursing services provided in a home setting, and updates the fee schedule for private duty nursing, physical therapy, occupational and speech therapy services.

NHHPP PAP, non-PAP, and Medicaid Cost Share.

This SPA establishes a resource disregard to not count the cash surrender value of a life insurance policy worth less than ten thousand dollars in the determination of eligibility for institutionalized Medicaid applicants, provided that the individual is pursuing the surrender of the policy.

This SPA Primary Care Physician Enhanced Payments (PCP Bump).

This SPA proposes to permit individuals to use certified appraisals conducted by appraisers licensed by the Virginia Real Estate Appraiser Board as an alternative to the use of the tax assessed value to establish the value of any non-commercial real property for purposes of Medicaid resource eligibility.

Updates the new Emergency Medical Transportation Program.

Maintains the nursing facility rates at the September 30, 2015 level and permanently ends the application of an automatic inflation factor.