This amendment was submitted to reduce payment rates for home health intermittent skilled nursing services by six and three-quarters of a percent.

This amendment allows an exemption from establishing a Recovery Audit Contractor.

The amendment will change the required composition of the Comprehensive Evaluation team for autism treatment services.

This amendment provides for clarification for Access Critical nursing facilities and nursing facilities operated under Public Law 93-638.

This amendment was submitted in accordance with Section 214 of the Children's Health Insurance Program Reauthorization Act (CHIPRA), which permits States to cover certain children and pregnant women in both Medicaid and the Children's Health Insurance Program (CHIP) who are "lawfully residing in the United States" as described in section 1903(v)(4) and 2107(e)(l)(J) of the Social Security Act (the Act). Approval of this option resulted in a Federal budget impact of $1,546,729.00 for Federal Fiscal Year (FFY) 2018 and $4,891,174.00 for FFY 2019.

This SPA will change State' s trauma code editing and reporting process with the implementation ofICD-10-CM and change the process of data exchange with the Wyoming Department of Transportation for Motor Vehicle Accident Reports.

This SPA eliminates tiered benefits in the Dental Wellness Plan.

This SPA adjusted the Medicaid anesthesia conversion factor to be equal to the calendar year 2017 Medicare anesthesia conversion factor as adjusted for the state, & converted to a per minute amount & updated annually.

This amendment describe requirements that must be met for inpatient hospital claims to qualify for outlier payments.

This SPA removes the Express Lane Eligibility (ELE) option for children under age 19 under the Medicaid state plan.