To update Ohio’s Alternative Benefit Plan by revising the language regarding the interplay between the fee-for-service and managed care delivery systems for the adult expansion group to more accurately reflect current policy.

Updates the State Plan language regarding the Community First Choice program to replace references to the attendant care and the LTSS tracking System with personal assistance services and data management.

This SPA is to amend Washington's 1915(k) Community First Choice, Home and Community Based Services (HCBS) State Plan Program.

To update third-party liability requirements.

This SPA is to amend the pharmacy pages provisions to cover select over the counter (OTC) medications.