This SPA amends and updates the State's APG system for Freestanding Clinic services.

This SPA amends and updates the State's APG system for Freestanding Clinic services.

This SPA amends and updates the State's APG system for Freestanding Clinic services.

This amendment revises reimbursement for nursing facility services.

This amendment revises reimbursement for nursing facility services.

This amendment revises reimbursement for inpatient hospital services to implement: (l) a rate increase to the diagnosis related group (DRG) base rate for privately operated acute care general hospitals and (2) supplemental payments to specifed mid-sized acute care hospitals.

This amendment revises reimbursement for inpatient hospital services to implement a pay for- performance (P4P) program for children age seventeen and under at any private psychiatric hospital in Connecticut, which is c currently only Natchaug Hospital.

This amendment adds an acute inpatient hospital payment method for drugs and biologics that will be carved out of the adjudicated amount per discharge (APAD) payment and separately paid. Additionally, it updates and clarifies coverage pages under Attachments 3.1A and 3.1B of the state plan.

This amendment was submitted to comply with all changes made to the Arkansas State Plan in July of 2017 regarding the implementation of thresholds for occupational, physical, and speech therapies.

This amendment was submitted to relfect that adults previously served by the Developmental Day Treatment Clinic Service Centers will now be served by the Adult Developmental Day Treatment (ADDT) programs, where participants will also be given the opportunity to receive nursing services with prior authorization.