This amendment was submitted to reduce primary care provider incentive payments of the amount initially authorized by Section 1202 of the Affordable Care Act, and implemented in 42 CFR 447 Subpart G, by ten percent.

Adds procedure codes GO 151, GO 152 and GO 153 to the home health fee schedule.

No outpatient hospital inflation adjustment for state fiscal year 2018 with the exception of 100% of inflation to the Children's Hospital of the King's Daughters.

Coverage & Limitations and Payment for Services: Mental Health Rehabilitation.

This state plan amendment modifies the reimbursement methodology for rehabilitative services to add reimbursement for opioid treatment program services.

Revises the current Supplemental Drug Rebate Agreement (SDRA) to be consistent with the Covered Outpatient Drug final rule with comment period (CMS-2345-FC) and to revise references to various federal laws and definitions that have been changed.

Continues to pay hospitals for services provided to Medicaid recipients for inpatient and outpatient services utilizing the reimbursement methods in effect on September 30, 2017.

Targeted Case Management Services for High-Cost Children with Medical Complexity.

This SPA modifies the State's reimbursement methodology for setting payment rates for state operated nursing facilities (NFs) and Intermediate Care Facilities for the Individuals with Intellectual Disabilities (ICF/IIDs).

This SPA will increase certain medical service codes to 100% of the Calendar Year 2014 Medicare fee schedule for attested primary care physicians and physician extenders. This SPA was approved December 4, 2017.