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

This SPA was submitted to revise your approved Standard ABP to add Behavioral health homes (corresponding with approved SPA 15-014).

This SPA is adjusting the Medicaid reimbursement rates for physician services by applying a site of service differential to reflect the difference between the cost of physician services when provided in a health care facility setting and the cost of physician's services when provided in the physician's office.

This amendment is a technical correction to remove duplicative information from attachment 4.19-B, IX other non-institutional services, page 23.

This SPA updates provisions to a narrative format and the section numbers as part of Ohio's 5 year Review.

This SPA requests to postpone the end date of the stop loss/stop gain provision from June 30, 2017 to July 5, 2017.

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

Revises the amount of supplemental payments for Type One physician services. Effective April 1, 2017 , the supplemental payment amount for Type One physician services shall be the difference between the Medicaid payments otherwise made for physician services and 256% of Medicare rates.

The purpose of SPA l7-007-B is to revise the amount of supplemental payments for Type One physician services.

Payment for Services: Selective Contracting for Eyeglasses.