The SPA adds language to include medical nutritional therapy services provided by registered dietitians.

The SPA adds language to include a reimbursement methodology for medical nutritional therapy services provided by registered dietitians.

This SPA removes the requirements for Home Health Agency providers to complete cost reports. Additionally, language was changed to bring the State Plan into compliance with 42 CFR 440.70 by not restricting HHA Services to only members who are homebound.

This SPA updates the name of the designee that is authorized to submit state plan amendments for the South Carolina Department of Health and Human Services.

Supplemental Rebate Program and New TOP$ Supplemental Rebate Agreement.

Coverage & Limitations and Payment for Services: Comprehensive Primary Care (Patient Centered Medical Homes).

This amendment allows for reimbursement to Michigan's State Veterans Homes for providing nursing facility services.

Reimbursement update for PRTF.

This SPA was submitted as a technical correction, revises the reimbursement methodology for critical access hospitals (CAHs). Specifically, this SPA allows reimbursement of 101% of cost for outpatient clinical laboratory services.

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