Makes two revisions to nursing facilities reimbursement rates: l) phases out the Direct Care policy adjustor in increments of twenty-five (25%) percent; and2) implements a rate freeze for a twelve ( 12mths) months period.

This SPA revises the provisions concerning deductions from the post-eligibility share of cost calculation.

The SPA removes limitations on podiatry services.

The SPA also clarifies definitions, service components, staff requirements, and service limits for therapeutic group home services.

Revises the definition of estate for purposes of Estate Recovery.

This SPA provides for the verification of assets for the purposes of determining and re-determining Medicaid eligibility for aged, blind and disabled Medicaid applicants and recipients using an Asset.

West Virginia is requesting an exception from the RAC requirements of Section 1902(a)(42)(B)(i) of the Social Security Act.

Neonatal Abstinence Syndrome Treatment Services.

Implements a Asset Verification Program.

This amendment was submitted to transition the Arkansas Medicaid eligibility criteria from being a "determination" State to an "assessment" State by removing the authority to delegate eligibility to the Health Care Exchange.