Continues DSH payment adjustments to qualifying hospitals that serve indigent populations of cities with an average per capita income signiflrcantly below statewide averages.

Continuing disproportionate share hospital payments to facilities which are members of the Alliance of Independent Academic Medical Centers and ranked at least three standard deviations above the mean Medicaid inpatient days.

Continuing disproportionate share hospital payments to facilities with 400 or more beds in counties with less than 500,000 population.

Continuing disproportionate share hospital payments to promote access in less urbanized areas of Pennsylvania.

Continuing disproportionate share hospital payments to teaching hospitals that provide psychiatric services.

Continuing disproportionate share hospital payments to promote access at high volume facilities.

Continuing disproportionate share hospital payments to facilities that have a low commercial payment ratio and a negative trend in net patient revenue.

This SPA is to remove Long Acting Reversible Contraceptives (LARC) from the Rural Health Centers (RHC) PPS rate and reimburse the LARC under FFS.

This SPA is to remove Long Acting Reversible Contraceptives (LARC) from the Federally Qualified Health Centers (FQHC) PPSrate and reimburse the LARC under FFS.

This SPA reduces the look-back period for inpatient hospital potentially preventable readmissions (PPRs) from 30 days to l4 days, and implements prior authorization for all inpatient psychiatric hospital admissions establishing that each admission is considered a distinct event.