This amendment clarifies that Graduate Medicaid Education payments are now incorporated into managed care rates. The amendment also reclassifies .a supplemental payment to the University of Iowa Hospital and Clinics into a disproportionate share hospital payment. In addition, the amendment updates the fee schedule effective date pertaining to inpatient psychiatric services for individuals under 21 years of age.

This SPA grants authority to move Opioid treatment health home services in-network for the Medicaid Managed Care Organizations.

Updates third party liability state plan language related to payment of claims consistent with current policy.

This SPA requests a two-year extension (to June 30, 2018) for procurement of a Recovery Audit Contractor (RAC).

This SPA proposes to establish a reconsideration process by which appellants can petition the Virginia Medicaid Agency's Director to reconsider the Department of Medical Assistance Services' (DMAS) Final Agency Decision. The SPA indicates that the DMAS Director's review shall be made upon the case record of the formal appeal. Testimony or documentary submissions that were not part of the formal appeal case record prior to the issuance of the Final Agency Decision shall not be considered.

This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

This amendment originally proposed implementing a 1 percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the 1 percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

This amendment originally proposed implementing a one percent rate reduction and rate fr eze for subsequent years. After intensive collaboration with CMS, the State removed the one percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.

This amendment originally proposed implementing a one percent rate reduction and rate freeze for subsequent years. After intensive collaboration with CMS, the State removed the one percent rate reduction and revised the SPA pages to clarify that this program will be reimbursed via the North Carolina Medicaid fee schedule in effect at a given point in time.