This amendment provides licensed acupuncturist services for lower back pain and breech baby treatment.

The purpose of this SPA is to amend the provisions governing rural health clinics (RHCs) in order to remove the cutoff date to allow existing RHCs licensed as small rural hospital outpatient departments after July 1, 2007 and new RHCs to be reimbursed at 110 percent of cost.

Continues the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care Workers for Personal Care Services for an additional two years through SFY 2025.

Updates the distribution for add-on payments for Direct Care Wages and Health Insurance for Health Care Workers to continue the methodology for an additional two years through state fiscal year 2025.

This amendment increased reimbursement for targeted case management, and replaces the phrase “mental retardation and other developmental disabilities” with the phrase “intellectual or developmental disabilities” on the submitted pages.

This amendment makes changes to the Medicaid State Plan to allow for pharmacist reimbursement for services and prescriptions of hormonal contraceptive patches and self-administered hormonal contraceptives to eligible Medicaid recipients.

Per Legislative allocation, select procedure codes will be increased by 3% for physicians.