Provides additional reimbursement to providers for the delivery of collaborative care services for the purposes of providing essential health care to patients with depression and other diagnosed mental illnesses.

Expands South Carolina (SC) rural hospital definition to include a SC hospital that is locatedwithin a "persistent poverty county" as defined in Public Law (P.L.) 112-74.

This SPA is updating language regarding the Peer Support Professional staff.

Implements time-limited supplemental reimbursements to providers under the Family Planning, Access, Care and Treatment (Family PACT) program for Evaluation and Management (E&M) office visits rendered for comprehensive family planning services during the period of July 1, 2017 through June 30, 2018.

This SPA proposes to allow the District to provide nursing services for technology-dependent beneficiaries who require more individualized and continuous care than is available from a visiting nurse under the Skilled Nursing Home Health Services benefit or routinely provided by the nursing staff of a hospital or skilled nursing facility.

The SPA proposes to carve out the administration of the Long-Acting Reversible Contraceptive (LARC) from the Outpatient APG reimbursement methodology when it is provided on the same Date of Service (DOS) as an abortion.

Revises the therapies section and the rehabilitative services section of the state plan to reflect updates in the provision of inpatient and outpatient rehabilitation services and provider documentation requirements.

Modifies the reimbursement methodology for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS).

Increases interim encounter-based fee rates.

Reimbursement update for Federally Qualified Health Centers.