The SPA allows NJ to implement an updated fee schedule.

This SPA is changing the reimbursement from a single daily encounter rate to a multiple encounter payment methodology based on differing diagnoses for Indian Health Services/Tribal facilities.

This amendment provides for reimbursement to publicly owned psychiatric hospitals operated by the Department of Children and Families (DCF).

This SPA was submitted to add Community First Choice pursuant to Section I 9 I 5(k) of the Social Security Act to the ABP (corresponding to approved SPA 15-012).

This SPA proposes changes to comply with requirements of the Covered Outpatient Drug final rule with comment period (CMS-2345-FC).

This state plan amendment extends the current three percent rate reduction for outpatient hospital services (excluding ambulatory surgical center reimbursement), which is currently set to expire on June 30, 2017.

Adjusts payment for obstetrical services, reimbursed under the obstetric and facility type obstetric rate types, in order to implement a partial restoration of the reductions described in the approved SPA 15-015.

Revises the reimbursement methodology for the professional components of radiology services to $7.5% of the 2007 Medicare rate in order to be consistent with other components of the reimbursement for radiology services.

Adjustment for reimbursement rate for rehabilitation clinics to 95% of the 2008 Medicare fee schedule.

This SPA amends Attachment 4.19-B of the Medicaid State Plan in order to develop a consistent Obstetric (OBS) and Facility Obstetric (FTO) rate type policy.