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

This amendment will maintain reimbursement rates at their present level for one year.

This amendment recognizes incurred medical or remedial care expenses as those that are incurred during the three months preceding the month of application.

This amendment increases nursing home Medicaid per diem rates by $5.98 million over SFY 2017 rates.

To add text to the State Plan regarding reimbursement practices for community mental health services and to reflect the inclusion of updated dental procedure codes in the agency's fee schedule.

This amendment was submitted as a technical correction to update the reimbursement methodology for Laboratory Services.

This amendment was submitted to allow for hospice services concurrently with medical and curative services for children, and to correct age limitation language for individuals in receiving inpatient psychiatric care.

This SPA eliminates the dental co-pay for adults due to the expansion of the state's Dental Wellness Plan.

This amendment, effective September 19,2017, allows a reduction to Medicaid upper payment limit. supplemental payments for non-state governmentally-owned or operated hospitals in order to preserve their disproportionate share hospital adjustment payment levels.

The amendment requires that any Medicaid provider or provider entity that receives payments, in any federal fiscal year, of at least $5,000,000 must have written policies for all employees and contractors, and must educate employees and contractors regarding: 1) The Federal False Claims Act under title 31 of the United States Code, sections 3729 through 3733; 2) Administrative remedies for false claims and statements under title 31 of the United States Code, chapter 38; 3) Any State laws pertaining to civil or criminal penalties for false claims and statements ( Iowa Code chapters 249A and 685