Authorizes an additional class of disproportionate share hospital payments that have a lowcommercial payment ratio, a negative trend in net patient revenue, and are located in an area of the Commonwealth with a disproportionate Medicaid need.

Continues an additional class of disproportionate share hospital payments to promote access to services and to support academic medical programs.

Implements enhanced screening requirements for provider enrollment processes.

This SPA expands the staffing requirements for psychiatric facilities for individuals 65 or older to include at least one full-time board certified geriatric psychiatrist/geriatrician or one full-time board certified adult psychiatrist with a minimum of 3 years of experience caring for geriatric patients.

This SPA updates outdated language pertaining to hearing services coverage policy and the coverage requirements for hearing aid devices and cochlear implants.

To implement a reduction to the ambulance fee schedule.

Provides temporary Vital Access Provider / Safety Net Provider (VAP/SNP) enhanced payments to Samaritan Keep Nursing Home.

Proposes to continue a pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.

Amends the reimbursement methodology for outpatient hospital services to increase Medicaid reimbursement rates paid to non-rural, non-state hospitals and children's specialty hospitals.

Implement a rate reduction and change in methodology for the reimbursement of eyeglasses.