This SPA updates the Asset Verification System (AVS) section of the State Plan to reflect Arizona's election to join a consortium of several states to develop an AVS.

This amendment updates the physicians and other practitioners' schedules.

This SPA adjusts Article 16 clinic rates for increased labor costs due to statutorily required increases in New York State minimum wages.

This proposes to remove any reference to cosmetic and hair growth medications and sexual or erectile dysfunction medications language from the state plan pages. Section 5008 of the 21st Century Cures Act .

To amend the state plan allowing the discontinuation of a recovery audit contractor (RAC) for a period of two years from the approved effective date.

Amends and updates the State's APG system for Freestanding Clinic services.

This SPA authorizes the Department of Healthcare and Family Services to increase both the base and mileage charges for ground ambulance service providers by 12%. This increase will apply to emergency and non-emergency ambulance transportation services.

This amendment reallocates certain Disproportionate Share Hospital (DSH) payments that would exceed the hospital-specific DSH limit, defines two distinct DSH state plan rate years (SPRY), clarifies some existing DSH provisions and eliminates other obsolete DSH provisions.

This amendment will provide temporaury quarterly supplemental payments to Oswego Hospital.

Provides a one-year extension to the supplemental payment for intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs).