Allows for the coverage of lawfully residing pregnant women and children under Section 214 of CHIPRA.

Implements changes to the pharmacy reimbursement methodology for ingredient costs and the professional dispensing fees for clotting factor based on a survey of costs for Hemophilia Treatment Centers (HTCs) and non-HTCs.

To revise the payment methodology for prescription drugs at point-of-sale (POS) pharmacies and describe reimbursement for 340B covered entities effective April 1, 2017.

Removes the reimbursement page for peer support services because reimbursement for these services already falls under the category of rehabilitative mental health.

Changes the methods and standards for establishing payment rates for Outpatient Hospital Services, reflecting the rate increases effective July 1, 2017.

This SPA proposes to bring Alabama into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).

Termination of Benchmark Plan.

Enhanced Payments for Certain Psychiatric Services.

This SPA proposes changes to comply with requirements of the Covered Outpatient Drug Final Rule with comment (CMS-2345-FC) (81 FR 5170) for drug reimbursement.

Revises rate year (RY) 2017 reimbursement methodology for nursing facility services.