Modifies the reimbursement methodology for the Day Activity and Health Services (DAHS) program by requiring biennial, rather than annual, cost reports.

Rebases per diem rates for nonstate-operated ICF/IID.

Update the payment methodology for community health center/FQHC services.

SPA proposes to reimburse these through the use of rates that are consistent with and promote, efficiency, economy, and quality fo care and to enlist providers.

This SPA updates California's Patient Refined Diagnosis Related Group (APR-DRG) payment parameters for State Fiscal Year 2019-2020

This SPA proposes revisions to provide clarity to State Plan language describing private rooms and cost sharing for NF and ICF/II D Services.

Replaces existing file authorizing alternative payment methodology (APM) for any outpatient health program or facility operated by a tribe or tribal organization that elects to enroll in Washington Medicaid FQHC.

Fee schedule pricing changes.

This State Plan Amendment increases payments for several behavioral health service fees.

For Autism Intervention Services (ACS).