Supplemental payments in Fiscal Year 2019 to Medicaid-enrolled physician group practices.

Updates the State's APG system for Freestanding Clinic services.

Non-Institutional Provider Reimbursement Changes.

Increases the state's Professional Dispensing Fee (PFD) from $10.55 to $10.87 per prescription.

CEDAR Health Home benefits.

An increase in Behavioral Health, Health Home rates.

Amends Attachments 3.1-A, 3.1-B, and 4.19-B of the Medicaid State Plan to update the description of coverage and reimbursement of Federally Qualified Health Center (FQHC) services.

Amends Attachment 4.19-B of the Medicaid State Plan to align with the changes made in SPA 16-0016-A. SPA 16-0016-B removes the person-centered medical home (PCMH) language from the outpatient hospital section of Attachment 4.19-B. This change is because SPA 16-0016-A implements an ambulatory payment classification (APC) reimbursement system for outpatient hospital services, includes facility services only and excludes professional services.Professional services must be billed under the physician or other licensed practitioner benefit categories in sections 1905(a)(5) and (6).

Updates service descriptions and adds new rehabilitative services for Medicaid-eligible recipients with mental illness, substance use disorder, or co-occurring mental illness and substance-use disorder diagnoses.

Reimbursement for Advance Care Planning (ACP) visits to reimburse consistently with a percentage of the Medicare reimbursement policy based on date of service.