This SPA provides Nebraska 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 midwifery services in order to increase the reimbursement rate for services provided by certified nurse midwives and licensed midwives.

This SPA proposes to increase the professional dispensing fee from $10.99 to $11.81 per prescription.

This SPA proposes to reimburse clotting factors using the Louisiana clotting factor average acquisition cost (AAC) and a unit based professional dispensing fee reimbursement methodology.

This amendment expands the qualified providers for behavioral health providers under the rehabilitative and targeted case management benefits.

This amendment is to create a new clinic type under Special Clinics for providers who treat children under the age of 21 with cancer and other rare diseases.

This amendment adds community-based palliative care as a service under the home health benefit.

Update nursing facility rates using a new cost report period and inflation factor in accordance with Iowa Senate File (SF) 561.

Update Psychiatric Medical Institution for Children (PMIC) rates in accordance with Iowa Senate File (SF) 561.