Increases reimbursement rates for facilities licensed by the Department of Public Health under the ID/DD Community Care Act as well as facilities licensed under the MC/DD Act.

This SPA sets rates for ICF/IID services for FY 2018.

This amendment provides for clarification used in establishing reimbursement rates for services provided in institutions for mental diseases (IMDs).

This amendment gives the Blackfeet Tribe of the Blackfeet Reservation, and the Gros Ventre and Assiniboine Tribes of the Ft. Belknap Reservation, authority to determine Medicaid eligibility. A2 has been amended to add this authority.

This SPA proposes to bring Tennessee into compliance with the pharmacy reimbursement requirements in the Covered Outpatient Drug final rule with comment period (COD final rule) (CMS-2345-FC) (81 FR 5170) published on February 1, 2016.

Incorporates Presumptive Eligibility conducted by the Department of Health Clinics into the USVI's Medicaid state plan in accordance with federal regulations in 42 CFR subpart L.

Increases payment rates for certain ventilator services.

This SPA establishes an alternative payment methodology (APM) for medical resident physicians at a federally qualified health center (FQHC).

This amendment eliminated outdated references to Average Wholesale Price (AWP) for drugs and described a new basis of payment for the Birthing Center facility fee as directed by the Washington State Legislature per substitute Senate Bill 5883.

This SPA reflects the implementation of the Mississippi Division of Medicaid's Recovery Audit Contractor (RAC) program in compliance with 42 CFR Part 455, Subpart F. This SPA was approved on November 17, 2017.