This SPA updates references to the Code of Federal Regulations (CFR) to be in compliance with 42 CFR 483, Subpart B.

The purpose of this SPA is to make a technical change to DSH reimbursement.

Updates the State Plan to update LTAC and Rehab rates.

This State plan amendment changes the provider type name from Christian Science to Religious Non-Medical Health Care Institutions (RNHCIs) and adds language regarding the reimbursement rate methodology for RNHCIs.

The SPA submission requested to allow Clinical Pharmacist Practitioners to enroll directly as Medicaid Providers, which allows them to directly bill and to receive direct payment.

Reimbursement update for Physical Therapy and Occupational Therapy.

This amendment establishes a differential adjusted payment program for inpatient hospitals, effective October 1, 2017.

Increases the professional dispensing fees and revise reimbursement for Physician\uDBC0\uDC03Administered Drugs when no published Medicare rate exits.

Makes conforming changes to the state plan to reclassifies nursing consulting services that are not directly related to the provision of hands-on-resident care from the administrative component to the indirect care component.

Updates Inpatient Hospital APR-DRG reimbursement methodology.