This SPA amends the limitations on prescription drug coverage to clarify that agents when used for cosmetic purposes or hair growth will only be covered when the state has determined that use to be medically necessary.

To increase the reimbursement for specialized nursing home ventilator care.

Allows for eligibility for certain pregnant women and children as described in section 1903(v)(4) and 2107 (e)(1)(J) of the Social Security Act and who are otherwise eligible for assistance under the state plan (template S89).

Updates the effective date of rates for dental services and dentures to July 1, 2017.

Updates the effective date of Reimbursement forTransportation Services to July 1, 2017.

Updates the effective date of Rehabilitative MentalHealth Services to July 1, 2017.

Updates the effective date of physical therapy and occupational therapy to July 1, 2017.

Updates the effective date of clinic services to July 1, 2017.

Updates the effective date of chiropractic services to July 1, 2017.

Updates the effective date of audiology rates to July 1, 2017.