Adopts the provisions to establish a Medicaid Asset Verification program to verify the assets of aged, blind or disabled applicants for, and recipients of, Medicaid benefits.

Clarifies Alaska's transportation benefit as to the arrangement of transportation services by a broker and the arrangement of transportation services by a government entity.

Will implement a new nursing facility quality program to improve the quality of care provided by Ohio's nursing facilities.

This SPA will postpone the end date of the stop loss/stop gain provision from June 30, 2016 to December 31, 2016.

Updates OH's Disproportionate Share Hospital Program Payment Methodology for the Hospital Care Assurance Program for the Acute Care General Hospitals.

Prescribed drugs for the treatment of Hepatitis C and Hemophilia, as well as the high-cost prescribed drugs Carbaglu and Ravicti, have been carved out of the managed care program and will be covered for managed care beneficiaries through the Medicaid fee for service program.

To eliminate the exclusion of coverage for gender confirmation surgery.

Reimburses recovery audit contractors on a flat-fee-basis rather than a contingency basis for the work of identifying over payments and underpayments in the Medicaid program.

Updates the payment rates for personal care attendants, including provisions and overtime pay in accordance with the requirements of the Fair Labor Standards Act, and the accrual of earned sick time in accordance with Section 148C(d)(5) of M.G.L. Chapter 149.

Outpatient Hospital Supplemental Payment.