Recovery Audit Contract (RAC) Exception.

This SPA decreases the state's contingency fee rate for payments made to the Recovery Audit Contractor (RAC), and provides for an exception to 42 CFR 455.502(b), while it procures a new RAC vendor.

Managed Care: Revisions to voluntary enrollment.

This SPA was submitted to revise your approved Title XIX State plan to update the language regarding clinic services.

This SPA renews Oregon's 1915(i) State Plan Home and Community-Based Services (HCBS) benefit for individuals with chronic mental illness.

New reimbursement rates for emergency and non-emergency transportation services.

Updates the date of the fee schedule for the following State Plan services on the Introduction Page, effective January 1, 2017: Other Laboratory & X-Ray Services, Physicians' Services, Optometrists' Services, Physical Therapy Services, Occupational Therapy Services and Hearing Aids.

To continue a pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.

This SPA was submitted for making the data conversion from the Medicaid Model Data Lab (MMDL) and to add additional chronic care conditions as qualifying conditions for community mental health centered health homes.

This SPA extends the elimination of inflation rate increases for multiple services into a second state fiscal year (2017).