Updates and strengthen PDN policy by defining the place of service where PDN is allowed and by clarifying which PDN services are authorized

proposes to implement a ground transportation access payment program for privately-owned and operated ambulance providers

Purposes to reduce nursing home rates an additional .5%

updates Attachment 3.1A/B of the Medicaid State Plan to increase the allowable units to eight hours per day with additional hours available with prior authorization for individual day program services provided to individuals residing in Medicaid-certified nursing facilities who are 21 years of age or older and have been found through the Preadmission Screening and Resident Review (PASSR) process to need such services

Provides for an inflationary increase of 2.5 percent for intermediate care
facilities for individuals with intellectual disabilities (ICF/IIDs).

proposed amendment allows pharmacists to administer certain medications and flu vaccines in a pharmacy setting and to provide for appropriate reimbursement

Includes a reimbursement methodology for certain durable medical equipment (DME) and medical supplies that are not on the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fee schedule