This amendment makes comprehensive changes and updates reimbursement for inpatient acute hospital (in-state & out-of-state) services.

Reimbursement update for EPSDT Reimbursement.

Reimbursement update for Executive Director Appointment.

This amendment revises reimbursement methodologies for inpatient hospital rates and methodologies for state plan rate year 2017.

Reimbursement update for Eyeglasses Coverage.

Reimbursement update for Audiology Coverage.

Reimbursement update for Speech Path Coverage.

Reimbursement update for Chiropractic Coverage.

Modifies the Reimbursement methodology for psychiatric residential treatment facilities from a single state-wide per diem rate to facility-specific per diem rates.

This SPA implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act (1945 of the Social Security Act).