Counties Moved from Mandatory to Voluntary Managed Care Enrollment.

Authorizes an additional class of disproportionate share hospital payments to acute care facilities to promote access in less urban areas of the Commonwealth.

Authorizes an additional class of disproportionate share hospital payments acute care general hospitals to promote access to comprehensive inpatient services by assuring an adequate supply of health care professionals.

Permits physician assistants to individually enroll with theMedicaid program as a provider of services and revises reimbursement for physician assistant services to 75 percent of the physician fee schedule rate.

Establishes a value based payment (VBP) program for facilities providing inpatient services, effective October 1, 2016.

Revise the provisions goveming the reimbursement methodology for nursing facilities in order to change the nursing facility rate setting method from a point'in- time methodology which determines rates by services utilized at a specific time, to a time-weighted methodology which determines rates by services over a longer period of time.

This amendment updates All Patient Refined Diagnosis Related Group (APR-DRG) reimbursement for inpatient hospital services, effective October 1, 2016.

This SPA provides for the verification of assets for the purposes of determining and redetermining Medicaid eligibility for aged, blind and disabled Medicaid applicants and recipients using an Asset Verification System (AVS).

Coverage & Limitations and Payment for Services: Non-Institutional Fee Schedule Updates; Advanced Imaging Multiple Procedure Reduction; Removal of Scope of Practice Limitations.

This amendment originally proposed to remove the October 31, 2011 end of service date and thereby allow Child Development Services Agencies to continue to be reimbursed and cost settled for providing this service.