Clarifies the methodology by which transportation benefits will be provided including coverage for escorts; detail when prior authorization is required and establishes a payment methodology for such services.

Incorporates a certified public expenditure methodology into the reimbursement for inpatient hospital services.

Incorporates a certified public expenditure methodology into the reimbursement for outpatient hospital services.

Implements a PBM program to provide drugs covered on the formulary list, except excluded drugs covered under Part D.

Early expansion.

Cost Sharing.

Early expansion.

Asset verification system.

Hospital inpatient services drug reimbursement for in-state general acute care hospitals.