Amends the reimbursement methodology.

Amends the provisions for Federally Qualified Health Centers (FQHCs) to allow certified medical assistants to apply fluoride varnish under the direction of a physician and to establish training requirements for the applier of fluoride varnish.

This SPA reflects the types of managed care risk contracts that apply to Oregon's Medicaid program.

This amendment (1) implements legislative funding for nursing facilities and intermediate care facilities for individuals with intellectual disabilities (2) updates references to reflect the current fiscal year (3) updates the current statewide median price; and, (4) maintains the spending level for the direct care wage component of the rate as well as at risk nursing facilities.

Implementation of a new method of calculating Wyoming Medicaid' s financial responsibility for eligible individual's Medicare crossover co-insurance and deductibles for covered and non-covered services.

This SPA increased the Medicaid LUPA wage index-adjusted fee rates in effect on June 30, 2106, by 2.93% effective July 1, 2016.

Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.

Amendment proposes to revise the IEP eligibility ratio formula for school-based health services for school-age children and extend the sunset date to June 30, 2017.

Clarifies New York's reimbursement policy with respect to hospitals that have undergone full asset merger.

Updates the general language and provider qualifications including requirements that all providers be certified by Virginia's Department of Behavioral Health and Developmental Services (DBHDS) as an intellectual disability case management agency.