Adds community integration service and therapeutic child care services to the South Carolina rehabilitativeservices benefit.

Updates the names of the Agency for Health Care Administration's (AHCA's) organizational structure and the fair hearings.

Adds participant direction as an option for existing §1915(i) State Plan Home and Community-Based Services (HCBS) respite, skilled nursing, and non-medical transportation services, and establishes community-based training services and financial management services as new services in support of participant direction.

This SPA eliminates restrictions to telehealth services that were previously included in Hawaii's approved Medicaid State Plan.

Guardianship Fee Update.

This state plan amendment modifies the reimbursement methodology for faculty physician access-to-care payment adjustments to comply with federal requirements and to extend the payment adjustments to eligible faculty physicians and eligible practitioners employed by or affiliated with eligible health institutions.

Updates case management language per companion letter dated May 9, 2016 for SPA 16-0008.

Coverage & limitations, and payment: Federally Qualified.

This SPA proposes to cover low dose computed tomography lung cancer screening annually for members between the ages 55-80 years, who are current smokers, have quit smoking within thelast 15 years, or have a history of at least one pack of cigarettes per day for 30 or more years.

Continues disproportionate share hospital payments to hospitals promoting access to inpatient hospital services for MA eligible and uninsured persons with cleft palate or craniofacial abnormalities.