This SPA updates Marylands State Plan to add Applied Behavioral Analysis service to children with an Autism Spectrum Diagnosis (ASD), to satisfy requirements under EPSDT.

Modifies the states methods and standards for reimbursing inpatient hospital services.

Purpose of making technical and editorial changes and delete obsolete language to the Title XIX Outpatient Hospital Reimbursement Plan effective July 1, 2016.

This amendment is to update the language regarding the payment methodology for Indirect Medical Education (IME) and Graduate Medical Education (GME).

This amendment places the Comprehensive Perinatal Service Program (CPSP) providers under the clinic benefit as part of the reimbursement for Indian Health Service (IHS) and Tribal 638 facilities and makes related clarifications.

SPA restores acupuncture services as a covered benefit under Medi-Cal to all eligible Medi-Cal beneficiaries and makes some unrelated coverage technical corrections.

To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Children Under The Age of 21 TCM group Butte, El Dorado, Fresno, Marin, Merced, San Francisco,Santa Barbara, Shasta, Trinity, Tulare and Yolo.

To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Medically Fragile Individuals TCM group Butte, Fresno, Marin, Merced, San Francisco, San Joaquin, Santa Barbara, Tulare and Yolo.

To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the Individuals at risk of Institutionalization TCM group Fresno, Merced, San Francisco, San Mateo, Santa Barbara, Tulare and Yolo.

To remove the following counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardyof Negative Health or Psycho-Social Outcomes" TCM group: Fresno, Merced, San Francisco, Santa Barbara, Tulare and Yolo.