Updates the State’s Disproportionate Share Hospital allotment allocation and payment methodology.

Proposes to continue the three percent (3%) reduction that is currently financed by the quality assessment fee and revises the quality rate add-on and the total quality score value-based purchasing methodology.

ID/DD and MC/DD rate increase.

Rebases NF payment rates and provides an additional $36.8 million in state funding for NF services.

Classification of non-IV-E individuals under age 21 with subsidized guardianship agreements with Iowa, disregard all income as allowed under section 1902(r)(2)(A) of the Act and its implementing regulation at 42 CFR 435.601(d)(1)(iii).

This amendment will continue the District's ability to provide supplemental payments to eligible District hospitals that participate in the Medicaid program.

Allows the District to make supplemental payments in Fiscal Year 2020 to Medicaid- enrolled physician group practices that contract with a public, general hospital located in an economically underserved area of the District to provide at least two of the following services: inpatient, emergency department, or intensive care physician services.

Provide supplemental payments for obstetrical providers based on quality performance measures.

Updates the effective date of the fee schedule for Community First Choice Services (under 1915k) to implement a 10% rate increase for home-delivered meals.

Changes the reimbursement methodology for chemical maintenance clinics by establishing a minimum weekly rate of $88.55 for seven daily doses.