This SPA amends the State Plan to update pages related to cooperative arrangements with the State vocational rehabilitative agency and Title V grantee.

This amendment changes the payment methodology for inpatient acute services to the All Patients Refined Diagnosis Related Groups (APR DRG) prospective payment system. 

The purpose of this SPA is to increase the reimbursement rates for Individual Providers, Agency Providers, and Adult Family Homes, and raise the Nursing Facility budget dial and swing bed rates.

New York State Department of Health amends Early Periodic Screening, Diagnostic, and Treatment (EPSDT) Tuberculosis TB and Interpreter Rates.

New York State Department of Health which updates the Ambulatory Patient Group (APG) for outpatient hospital services.

Updates the TennCare reimbursement rates for ground ambulance services.

Adds Medication Assisted Treatment (MAT) as a mandatory benefit in the Medicaid state plan.

Pays an originating site fee for telemedicine services.

Increases the rates for EPSDT Speech Therapy Evaluation and Treatment.

Updates the Florida Title XIX County Health Department Reimbursement Plan.