This is changes to the reimbursement methodology for private psychiatric hospital and substance abuse treatment hospital services.

This amendment provides for updates to the psychiatric residential treatment facility (PRTF) reimbursement rate methodology.

Update of the District's Medicaid State Plan to include a reference to the District's Dental Services Fee Schedule.

Formulates the Districtr's direct medical education policy for services provided through the managed care delivery system.

This removes coverage for the Medicaid Health Management program.

Adds comprehensive assessment, treatment coordination and peer recovery support services for the treatment of substance use disorder and allows licensed professionals to bill the Medicaid program for substance abuse services.

This adjusts Medicaid service payments in response to a New York State Supreme Court decision in the Matter of The Bronx-Lebanon Highbridge-Woodycrest Center.

Allow for the enrollment of Physical Therapists, Occupational Therapists, and Audiologists as Medicaid providers effective April 1, 2017 and to allow for the enrollment of Speech-language Pathologists effective July 1, 2017.

This SPA amends Attachment 4.19-B to incorporate various 2016 Healthcare Common Procedure Coding System (HCPCS) changes (additions, deletions and description changes) to the physician fee schedule.

This SPA establishes temporary management and receivership for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) that are experiencing deficiencies that do not immediately jeopardize the health and safety of individuals.