This SPA is to update state plan assurances in accordance with federally mandated quality reporting requirements for the Child Core Set and the behavioral health quality measures on the Adult Core Set outlined in 42 CFR 431.16 and 437.10 through 437.15.

This plan amendment ends the Potentially Preventable Readmissions Program.

This plan amendment excludes select pharmaceuticals from the DRG reimbursement system.

This plan amendment authorizes the Department to make an additional payment to nonpublic and county nursing facilities in a township of the first class in a county of the second class A.

This plan amendment increases rates for personal care services and skilled nursing evaluations.

This plan amendment updates rates for changes of ownership in nursing facilities.

This plan amendment adds language to clarify when hospital transfers qualify for outlier payments and includes a detailed list of applicable discharge status codes that determine payment eligibility.