This adds Accreditation Commission for Health Care (ACHC) as an additional accreditation option for outpatient behavioral health organizations.

This is to clarify definitions and procedures in the Estate Recovery Program.

This increases the Personal Needs Allowance for Medicaid residents in institutional settings.

This is for elimination of retrospective cost settlements and establish prospective payment rates effective October 1, 2012 for Mental Health Clinic services, Special Needs Transportation services, Family/Early Intervention services, and Preventive Services for Primary Care Enhancement services.

This removes the fee schedule for Service 19c. Targeted Case Management (TCM) Services for Individuals with Developmental Disabilities (DD) Age 16 and Over or Who Reside in a DD Children's Group Home State Plan from MT's 4.19 B Intro Page for non-Institutional services. The date of the removal from the Intro page will be June 1, 2018.

This adds language that clarifies the methodology by which vaccines, other than those offered through the Vaccines for Children (VFC) program, are priced absent a published Medicare price. Vaccines provided through VFC will not be affected by this amendment.

This implement a 3% rate increase for Level 1 Licensed Behavioral Health Practitioners in independent practice.

This SPA corrects an error associated with the approval of WA SPA 18-0003.

This explains changes the inpatient hospital upper payment limit (UPL) demonstration method from diagnosis related group (DRG) based to cost-based for non-state government owned (NSGO) and private hospitals.

This amends the State's approved Title XIX State Plan to update telehealth and telemonitoring in the Medicaid State Plan. This SPA is estimated to have no Federal budget impact.