Creates a new Targeted Case Management State Plan program for Public Health Nurse Home Visiting targeting Medicaid eligible infants through 6 months of age in Lincoln County.

Extend the exception to the Recovery Audit Contractor requirement in the state plan for an additional 2 years.

Implement the ten percent rate increase for Private Duty Nursing Services provided to children receiving medically intensive care in a home setting.

This 1915(i) SPA authorizes the provision of Community Supports Services to Medicaid beneficiaries that are currently provided as Section 1915(b)(3) services under the Managed Specialty Services and Supports Program.

Modifies the qualifications of the behavioral health providers for Targeted Case Management Group A to include supports coordination.

Align with the Behavioral Health Waiver and SPA authorities.

Allows the coverage of certain prescription drugs acquired through the federal 340B program.

Personal Care Assistant (PCA) Rate decrease.

Cost Containment-OP (FMAP=50%).