Ensures reimbursement methodology complies with applicable requirements for safety-net hospitals for obstetric services.

Makes allowance for manual payments for Comprehensive Community Services.

Creates a Hospital Augmented Reimbursement Program for non-state government-owned and operated hospitals to preserve the financial resources many Texas hospitals depend on to provide access and quality care to Medicaid clients.

Implements an alternative fee schedule for specific Rehabilitative Behavioral Health Services provided in schools.

Makes changes to the implemented inflationary increase for Personal Care Services from two percent to one-fourth percent.

Updates pages for payment of Eyeglasses.

Updates the date of the fee schedule for the Licensed Marriage and Family Therapists state plan.

Updates the date of the fee schedule for state plan services on the Introduction Page.

Increases reimbursement rates for ambulance services.

Allows reimbursement changes for private intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs). Specifically, this SPA provides specified fair rent increases and implements a rate increase of 4.3% to pay for costs of wage and benefit enhancements.