This SPA adds coverage and a reimbursement methodology for mental health rehabilitative services.

Reimbursement update for Federal Poverty Level.

Reimbursement update for Outpatient Drug Services.

Updates Dirproportionate share Hospital payments.

Therapy Fee Schedule Update.

Changes the requirement for prescription refills to provide that a refill is allowed without prior authorization when the patient has consumed at least 93 percent of the original or latest refill prescription.

Updates the fee schedule links for long term care and rehabilitation facilities.

Home Health Portability and Face to Face Requirements.

Revises the reimbursement for nursing facility services.

Authorizes a supplemental payment to peer group l3 special rehabilitation facilities in a city of the third class.