This SPA clarifies the use of Relative Value Units (RVUs) in Los Angeles County to apportion outpatient hospital costs to Medicaid in calculating the supplemental reimbursement for public outpatient hospital services.

This amendment proposes to continue funding for multiple classes of inpatient DSH payments and supplemental payments to Medical Assistance enrolled, qualifying inpatient acute care general hospitals.

This amendment proposes to continue to make additional payments to nonpublic and county nursing facilities that qualify for supplemental ventilator care and tracheostomy care.

This ainendment proposes to continue to make supplementation payments to qualifying county nursing facilities.

This amendment proposes to continue to make supplementation payments to qualifying nonpublic nursing facilities.

This State Plan Amendment updates the inpatient hospital reimbursement methodology, and deletes or clarifies outdated language.

This amendment revises the reimbursement rate methodology for Intermediate Care Facilities for the Developmentally Disabled (ICF/DD), ICF/DD-Habilitative (ICF/DD-H), and ICF/DD-Nursing (ICF/DD-N).

This plan updates Private Non-Medical Institution (PNMI) reimbursement methodology.

This SPA provides annual assurance of the pharmacy program adherence to the FULs requirements of federal regulation for the time period October 1, 2021 through September 30, 2022.