Outpatient Hospital Rates and Methodologies.

Revises the state's Medicaid graduate medical education supplemental payment program by allowing payment for Medicaid managed care services and also extending eligibility to certain private teaching hospitals.

To change the expiration date of the Hospital Provider Fee and its associated rate increase from June 30, 2017 to June 30, 2020 per Georgia SB 70.

This amendment proposes to provide a 12% inflationary increase for one quarter for specified nursing facilities that inadvertently did not receive the 3% inflationary increase provided to other nursing facilities.

This SPA proposes to require a face-to-face encounter be performed by an approved practitioner with the Medicaid beneficiary in order for payment and delivery of Home Health Services under Medicaid.

This SPA removes the requirement for prior authorization for hospice services, consistent with federal policy and state law.

The purpose of this SPA is to combine nurse anesthetist, nurse midwife and nurse practitioner pages under advanced practice nursing services. aligning with regulations.

Revises Guam's on-island inpatient hospital and outpatient hospital rate.

This amendment updates the reimbursement methodology for supplemental Medicaid inpatient hospital payments and Disproportionate Share Hospital payments.

This SPA will allow Virginia to add the new annuity requirement that annuities purchased before February 8, 2006, but modified after that date would be subject to all requirements applicable to annuities purchased after February 8, 2006.