Updates the optional state supplement standards for special income level groups incorporating the published 2017 Cost of Living Adjustments.

SPA amends state plan to exempt sexual-assault related services from hospital outpatient cost-sharing.

Reflects the increases in nursing facility assessment rates; the nursing facility assessment revenues fund a nursing facility supplemental payment.

Revise the provisions governing the reimbursement methodology for inpatient hospital services to increase the Medicaid reimbursement rates paid to non-rural, non-state hospitals.

Updates the optional state supplement standards for special income level groups consistent with the published 2017 federal poverty levels.

To extend the NY Ambulatory Patient Group (APG) methodology for freestanding clinic and ambulatory surgery center services for the effective period January 1, 2015 through December 31, 2015.

Eliminates the two percent (2%) Across-the-Board reduction for payments made under the State's non-institutional State Plan. However, this SPA does not eliminate the 2% Across-the-Board reduction for services provided by freestanding clinic providers.

To expand care management organization services to include Hunterdon, Somerset and Warren Counties.

Diabetes Self-Management Education.

Establishes an exception from the requirement to participate in the Recovery Audit Contractor (RAC) program.