Revises Title XIX state plan to update the payment methodology for out-of-state chronic disease or rehabilitation hospital outpatient services.

This state plan amendment updates the physicians' and other practitioners' fee schedule.

This SPA grants authority to add CMHO Health Home services as an in-plan benefit for the Medicaid Managed care Organizations. The SPA further revises outcome measures and imposesa payment withhold.

This SPA grants authority to implement a rate decrease and methodology change for CEDAR services. This SPA also implements revised quality metrics and oversight.

This SPA updates the State Plan section on ground ambulance rates.

This state plan amendment resumes enhanced payments through the Alabama Medicaid Physician's Primary Care Enhanced Rates "Bump" Program for dates of service on or after October 1, 2016.

This SPA is an amendment to Connecticut' s approved Title XIX Medicaid State plan to renew the home and community-based services benefit under Section 1915 (i ) of the Social Security Act for individuals 65 and older who meet the needs-based and financial eligibility criteria in the approved SPA.

Single Site Angen.

Value-Based Purchasing: Episode-Based Payments.

Cost Sharing.