Payment for services: Physical therapy and related services, multiple procedure payment reduction multiple procedure payment reduction.

This amendment increases non-Critical Access inpatient hospital payment rates by two percent (2.0%) and inpatient psychiatric hospital payment rates by two and a quarter percent (2.25%).

This amendment permits Montana to provide continuous Medicaid eligibility for children under the age of 19 for a full year, regardless of whether the childcontinuously meets all eligibility requirements during the continuous eligibility period.

This state plan amendment changes the basis of the birthing center facility delivery rate from the Medicaid Diagnostic Related Group system in effect on July 1, 2011 to the Medicaid Diagnostic Related Group system in effect on the date of service; also, to change the basis of the birthing center labor management rate to equal the Medicaid Ambulatory Surgical Center rate that is closest to but not exceeding one third of the facility delivery rate.

This proposed SPA transmitted an amendment to the coverage and reimbursement sections of Connecticut' s approved Title XIX State plan to establish the PCMH + program. The PCMH+ program is being added as an Integrated Care Mode l within section I 905(a)(29) of the Social Security Act (Act). The PCM H+ program also involves shared savings payments and care coordination add-on payments for primary care case management services, as defined by section l 905(t) of the Act.

This amendment creates a new nursing home specialty rate for the neurodegenerative disease population, which includes only those patients diagnosed with Huntington's disease and Amyotrophic Lateral Sclerosis.

This amendment proposes to continue supplemental payments to private hospitals for inpatient services.

This amendment proposes to continue supplemental payments to all New York City's Health and Hospitals for inpatient services.

This amendment reimburses Long Acting Reversible Contraceptive (LARC) devices separately from the inpatient DRG payment.

Revises Texas pharmacy reimbursement methodology for the Medicaid fee-for-service program from the current methodology to one that pays pharmacies based on the drug ingredient cost, defined as the acquisition cost (AC), plus a professional dispensing fee.