This SPA revises the approved Title XIX State plan to add the newly distinguished provider type of Limited Services Clinics to the clinic services section of the state plan.

Updates the payment methodology for rate year 2017 for acute hospital outpatient services.

Updates to Ohio's nursing facility cost reports and deletes obsolete provisions.

Reduces the amount of the disproportionate share hospital (DSH) payments pool for federally mandated statutory hospitals from $1,000,000 to $1,000.

Coverage & Limitations and Payment for Services.

Increases the medically needy income limits for 2017.

To increase the amount of allowable home equity interest for individuals seeking Medicaid eligibility for nursing facility services or other long-term care services.

This SPA adds a description of Value Based Purchasing (VBP) differential adjusted payments for outpatient hospitals and integrated clinics.

Modifies the State's reimbursement methodology for setting payment rates for disproportionate share hospital services (DSH).

Adds additional supplemental payment to hospitals operated by Health and Hospitals Corporation of New York City for the period April 1, 2016 through March 31, 2017.