This amendment expands the needs based-eligibility criteria for the Home and Community-Based Services - Adult Mental Health (HCBS-AMH) 1915(i) programs to include adults with a diagnosis of a serious mental illness (SMI) who have a history of psychiatric crisis and repeated discharges from correctional facilities, as well as adults with a diagnosis of SMI who have a pattern of emergencydepartmentutilization.

Amends the pharmacy coverage section of the state plan.

This SPA revises ambulance rates.

Reimbursement update for Medical Equipment and Supplies.

Revises methodologies and standards for determining payment rates for nursing facilities provided services based on the RUG class in effect.

MAGI-Based Methodologies.

Revises Article 28 freestanding Federally Qualified Health Center (FQHC) reimbursement methodology to increase rates of payment due to a minimum wage increase effective January 1, 2017.

Amends the provisions governing reimbursement for Targeted Case Management services provided to participants in the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program, in order to adopt a payment methodology based on a flat monthly rate rather than 15-minute increments.

Provides temporary Vital Access Provider / Safety Net Provider (VAP/SNP) enhanced payments to Trustees Eastern Star Hall and Home nursing facility.

Increases reimbursement rates for nursing facilities due to the state's statutorily increases to hourly minimum wages.