The plan amendment increases rates for targeted case management from $4.25 to $7.50 per unit service. There was no tribal consultation performed because there are no federally recognized tribes in Arkansas.

Reimbursement of Medicare cost sharing expenses for dual eligible population.

Outpatient hospital reimbursement rate reduction.

Rate reduction effective for claims.

Updates State Plan to include Tobacco Cessation for Pregnant Women.

Provides for Supplemental Payments up to cost, funded by certified funded expenditures, for free-standing governmentally-owned and operated clinics.

Establishes home and community.

Primary Care bump and vaccines for children.

Physician primary care rate increase.

Increased primary care service payment for Physicians.