This State Plan Amendment increases the monthly nursing visit limit for hemophilia patients and requires prior authorization for additional visits. It also clarifies reimbursement methodology for covered outpatient drugs, removes NADAC as a component of the UMAC.

This amendment continues to provide for supplemental payments to certain non-state government nursing homes.

Extends the psychiatric add-on payment for physicians, advanced practice nurses and community mental health practitioners.

This SPA revises the supplemental drug rebate contract to allow the department to collect rebate of managed care organization utilization.

Coverage & Payment: Dental Services.

This amendment proposes a Certified Public Expenditure (CPE) Cost Protocol to fund unreimbursed costs for seven counties with eight county government owned nursing facilities.

Updates two SPA pages for Medicare Savings Programs that allow a higher resource limit.

This amendment proposes to delete Hysterectomy, Appendectomy, Uncomplicated Pediatric Pneumonia and Urinary Tract Infection Episodes of Care.

Amend the State's approved Title XIX State Plan to update dental reimbursement under the Medicaid State Plan.

Update the reimbursement rate for Targeted Case Management providers by three and a half percent based on a legislative approved Cost of Living Adjustment.