This amendment elects for the State to use Utah' s single streamlined application form for both Medicaid and Presumptive Eligibility (PE) effective January 1, 2016.

Updates the supplemental payment pool amounts for teaching hospital payments for residencies, state teaching and pediatric specialty hospitals.

Revises the provisions governing the Professional Services program 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.

To update the following hospital inpatient services effective July 1, 2016: 1) Transition from V.32 to V.33 of the 3M Health Information System Hospital Inpatient APR-DRG Grouper, 2) Transition from V.32 to V.33 of the 3M Health Information System Hospital Inpatient Hospital Acquired Conditions Utility, 3) Update Appendix B "Out-of-State Hospital Transplant Services' Care Rates Effective July 1, 2016," to the most recent amounts as published by Milliman, and 4) Update Sections 2-1F.

This SPA serves to confirm to CMS how West Virginia will be establishing its Medicaid Asset Verification system.

Interagency agreement with the Ohio Department of Mental Health and Addiction Services.

This amendment proposes to increase Graduate Medical Education (GME) payments authorizedin the state's 1115 Comprehensive Waiver from $127 million to $188 million.

Hospice Services.

Dental Services.

Establishes additional payments to Medicaid safety net Federally Qualified Health Centers (FQHCs) to sustain access to services. Enclosed are copies of SPA 16-0046 and the HCF A-179 form as approved.