This SPA adds licensed clinical addiction counselors to the type of practitioner that can provide outpatient mental health services and receive reimbursement under the physicians'fee schedule reimbursement methodology.

Payment for Services: Wheelchairs, parts, accessories, and related services.

Continues a supplemental payment to acute care general hospitals in Pennsylvania to provide a substantial portion of their inpatient services to Medicaid patients.

Continues to provide supplemental payments to certain non-state government nursing homes.

This SPA added two new services under the Early and Periodic Screening Diagnosis and Treatment (EPSDT) section of the state plan.

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 at lower of usual and customary charges or the North Carolina Medicaid fee schedule in effect at a given point in time.

This amendment allows for a one-time supplemental payment to service providers subject to the AB 97 Payment Reductions.

Revises the reimbursement methods for the Targeted Case Management program for Self Sufficiency.

To expand the period of time available for Targeted Case Management (TCM) activities to include pregnancy.

The State plan amendment deletes pages superseded by previous state plan amendments.