This amendment proposes to continue a pay for performance quality incentive payment program for non-specialty nursing facilities and a related proportional rate reduction.

Implements health and Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act.

Reimbursement update for DME Rates.

This state plan modifies the frequency of the third party liability (TPL) health recovery cycle from quarterly to monthly.

This amendment updates the direct price peer group limit used in setting nursing facility (NF) per-diem rates.

This SPA assists with the improved access to home health care and durable medical equipment under home health services.

This amendment changes Arizona's disproportionate share hospital payment pool amounts for the state plan rate year ending 2018.

Provides a one-year (for SFY 2019) rate enhancement for the inpatient and outpatient hospital services of qualifying State and NSGO sole community hospitals by increasing the hospital specific conversion factor to 1.50 from the current 1.25.

This amendment provides temporary Vital Access Provider / Safety Net Provider (VAP/SNP) enhanced payments to Elderwood at Northcreek Nursing Facility.

This amendment identified the threshold dollar amount the Health Care Authority (HCA) uses to pursue recovery of medical services claims that were paid by Medicaid when a commercial insurance had primary responsibility for payment.