Reimburses for long-acting reversible contraceptives and their insertion at the time of delivery.

Extends and implements revisions to the Charity Care program for the state FY 2017.

Decreases a private hospital supplemental payment for St. Rose Hospital from $16 million to $10 million annually.

Revises the provisions governing Rural Health Clinics (RHCs) in order to allow certified medical assistants to apply fluoride varnish under the direction of a certified physician, and to establish training requirements for appliers of fluoride varnish.

Updates the methods and standards for establishing payment rates for inpatient hospital services.

This SPA transitions the Indiana's Medicaid nursing facility Medicaid reimbursement system from the RUG III model to the RUG-IV, model for which the MDS 3.0 was designed.

This amendment updates the fee schedule reference for freestanding psychiatric hospital facilities and general acute hospitals that provide psychiatric services, effective October 1, 2016.

This amendment elects to use the single streamline application as well as make revisions to the training materials effective January 1, 2016.

Changes Kem County Medical Center from a Short-Doyle/Medi-Cal hospital for Psychiatric services that is cost reimbursed to a Fee-For-Service Medi-Cal hospital, effective December 6th, 2016.

Revises the alternative single streamline paper application to include both hospital and pregnant women presumptive eligibility as well as includes revisions to the paper application for multiple human services programs effective January 1, 2016.