Proposes an exception to the Recovery Audit Contractor (RAC) program.

The purpose of this SPA is to amend the provisions governing the Pharmacy Benefits Management program in order to remove references to specific over-the-counter (OTC) drugs that are covered under the State Plan.

The purpose of this SPA is to implement an auto-assignment algorithm to reflect MCO enrollment assignment ranking based on quality measure performance.

This SPA provides Texas with approval to provide 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program.

The purpose of this SPA is to amend the provisions governing disproportionate share hospital (DSH) payments to increase reimbursement for DSH eligible services provided by hospitals through a cooperative endeavor agreement with the Office of Behavioral Health(OBH), in order to align the rate for OBH approved DSH days with the Medicaid inpatient psychiatric per diem rate on file for freestanding psychiatric hospitals.

This state plan amendment will supersede SPA ND-23-0020 and updates reimbursement for in-state PPS outpatient hospital services to the Enhanced Ambulatory Patient Group (EAPG) payment system.

This plan updates the rate methodology for Outpatient Hospital Services Cost Coverage Add-Ons.