This SPA is to amend the provisions governing personal care services worker qualifications in order to remove minimum education and experience qualifications language.

Adds a supplemental payment for qualifying acute outpatient hospitals.

authorizes a 4.9% rate increase for Targeted Case Management Services.

remove the rate freeze from long-term care facilities and reimburse providers according to the previous payment methodology

makes updates to family planning clinic services rates.

makes updates to restorative services rates.

Implements a one-time 7.25% rate increase, provided through the Maryland budget bill, for the 1915i Home and Community Based Services Program.

makes updates to sterilization clinic services rates.