SPA 14-014 – ABP Cost-Sharing
Updates the State Plan to include cost-sharing for individuals with income over 100% FPL.
SPA 14-013-D – Nursing Facility Rates
Updates reimbursement rates for Nursing Facilities for the period October 1,
2014 to September 30, 2015.
SPA 14-013-C – Other Provider Rates
Updates reimbursement rates for other providers for the period October 1, 2014 to September 30, 2015.
SPA 14-013-B – Outpatient Rates
Continues current outpatient hospital reimbursement rates for the period October 1, 2014 to September 30, 2015.
SPA 14-013-A – Freestanding Psychiatric Hospital Rates
Continues rates for freestanding psychiatric hospitals for the period October 1, 2014 to September 30, 2015.
SPA 14-012 - GME
Updates GME funding for the service period July 1, 2014 through June 30, 2015
for programs with submitted IGAs.
SPA 14-011 - Third Party Liability
Updates the State Plan to reflect changes to Third Party Liability.
SPA 14-010 – Insulin Pumps
Updates the ABP and State Plan to include insulin pumps as a covered benefit.
SPA 14-009 – APR-DRG
Describes the All Patient Refined Diagnosis Relation Group hospital reimbursement methodology in the
State Plan for Inpatient dates of service on and after October 1, 2014.
SPA 14-008 – Presumptive Eligibility
Describes Presumptive Eligibility by Hospitals in Arizona.
SPA 14-007 – Barbiturates, Benzodiazepines and Tobacco Cessation
Updates the State Plan to remove barbiturates, benzodiazepines and agents used to promote tobacco cessation otherwise covered by Medicare Part D.
SPA 14-006 – Alternative Benefit Plan (ABP)
Aligns the ABP benefits for individuals enrolled in the new Adult Group with the current State Plan. In Arizona, the new Adult Group includes childless adults 0-100% FPL and adults without Medicare that are 100-133% FPL.
SPA 14-005 – Medicaid Administration
Addresses single state agencies delegation of appeals and determinations.
SPA 14-004 – Therapies
Revises the State Plan to reflect updates to therapies covered under the State Plan.
SPA 14-003 – Medically Preferred Treatment Options
Revises the State Plan to reflect updates to the orthotic benefit.
SPA 14-002 – Coverage for over-the-counter or non-prescription medication
Updates the State Plan to comprehensively describe coverage for over-the-counter or non-prescription medication.
SPA 14-001 – ADHS Licensure Changes
Revises the State Plan to reflect updates to the licensing of health programs.
For questions about the State Plan, call or write the Office of Intergovernmental
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