This amendment moves Arizona's disproportionate share hospital payment methodology from the Section I115 Demonstration to the state plan, effective October 1, 2017.

Coverage & Limitations: EPSDT Services.

This amendment adds contingency fee language and updates other provisions of the existing Medicaid Recovery Audit (RAC) Contractor program.

The purpose of this amendment is to add former foster care youth (individuals under age 26 who were in foster care in South Carolina at the age of 18) to the list of eligibility groups that will be mandatory enrolled in coordinated care.

This amendment proposes to extend provider eligibility for a one time incentive payment to support the development of care plans for Health Home beneficiaries, beginning July 1, 2017 and ending October 31, 2017.

Revises payment rates for substance use disorder services.

This amendment adjusts the personal needs allowance (PNA) annually to reflect cost-of-living adjustments (COLAs) to federal Social Security benefits, enabling individuals receiving long-term care to have their PNA increased by the percentage of any COLA to Social Security benefits.

This SPA increases nursing facility rates for SFY 2018, by adjusting reduction factors applied to certain cost centers.

This transmittal updates the optional state supplement standards for special income level groups consistent with the published federal poverty levels.

This SPA removes the prior authorization for procedures to align the State Plan with clinical policy.