Modifies the State's methods and standards for setting non-public nursing facility payment rates.

Modifies the State's methods and standards for setting public nursing facility payment rates.

This plan complies with economy and efficiency as required by section 1902(a)(30) of the Social Security Act to an acceptable reimbursement methodology with regards to the Supplemental Teaching Physician Payment Program.

Early Periodic Screening Diagnosis and Treatment regarding private duty nursing.

Proposes an incentive payment to encourage nursing homes to reduce existing approved debt service costs by refinancing.

Eliminates the NY nursing per diem rate allowance for transportation costs paid to medical payments.

This amendment proposes to provide annual assurance of the pharmacy program adherence to the requirements of the Federal Upper Limits (FUL) federal regulation for the time period October 1, 2014 through September 30, 2015.

This SPA updates the State Plan section on outpatient hospital rates.

This SPA adds a reimbursement methodology for hospital-based freestanding emergency departments.

Continues certain inpatient supplemental and disproportionate share hospital payments to qualifying hospitals.