Individuals eligible to receive Health Home services include beneficiaries with multiple chronic conditions.

This SPA extends enhanced reimbursement rates for certain primary care physician services established under Section 1202 of the Affordable Care Act to the period of January 1, 2015 through June 30, 2016.

This SPA implements revised inpatient payment methodologies for large public hospitals.

This amendment adds FQHC services and a reimbursement methodology to the state plan.

Revises the pharmacy reimbursement methodology to comply with the key provisions of the Covered Outpatient Drug Final Rule ( 81 FR 5170) that was published in the Federal Register on February 1.

Revises the methodology for supplemental payments for hospitals participating in the supplemental hospital offset payment program (SHOPP).

Implements a 15 percent rate reduction for inpatient psychiatric hospital services for individuals under age 21.

Implement a three percent rate reduction for freestanding psychiatric hospital services.

This SPA provides federally qualified health centers (FQHCs) and rural health centers (RHCs) with reimbursement for long acting reversiblecontraceptives (LARCs) and non-surgical trans-cervical permanent contraceptive devices outside of the encounter rate.

This amendment was submitted to implement a two percent rate reduction for dental services.