SPA extends the Ambulatory Patient Group (APG) methodology for hospital based clinic & ambulatory surgery services.

Adds licensed professional clinical counselors and associate providers of Medi-Cal psychology services and updates title of marriage and family therapist intern.

Provides exception to the requirement that the RAC hire the minimum of one full-time Doctor of Medicine (MD) or Doctor of Osteopathic (DO).

This SPA amends the payment methodology for actively participating Primary Care Physicians and Delivery Healthcare Professionals in the Alabama Coordinated Health Network (ACHN)

Amends Kentucky Integrated Health Insurance Premium payment (KI-HIPP) program member handbook to include instructions for beneficiaries seeking care from an ESI provider not currently accepting Medicaid

Amends exceptional care rates for medically complex for the Developmentally Disabled Facilities

Purpose is to require biennial costs reports for nursing facilities, and they will submit cost reports every other year.

Amends 4.19.-D of the Medicaid State Plan to provide privately operated intermediate care facilities for individuals with intellectual disabilities with a Medicaid rate increase to cover costs related to employee wages.

This SPA designates the income options the U.S. Virgin Islands is electing in 2014.

Primary purpose is to change the current reimbursement methodology for partial hospitalization Program (PHP) services.