Express lane eligibility option.

Eligibility conditions and requirements for medical assistance for pregnant women and children lawfully admitted for permanent residence in the United States for less than five years and otherwise eligible for medical assistance (CHIPRA Section 214).

Nursing facility payments - continuation of the base period used in SFY09 and no inflation adjustment.

Additional reimbursement for nursing facilities with high medicaid occupancy.

Reimbursement for instate acute care inpatient hospital services - disproportionate share hospital.

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

Affordable Care Act prohibition on Medicaid payments to providers outside the United States.

Implementation of state upper payment limit for multi-source drugs.

This amendment eliminates the trend factor increase for inpatient hospital rates for calendar year 2012. It also sunsets the supplemental payments to certain hospitals that performed utilization reviews, since those are now performed for the State by a third party contractor.

Express lane eligibility option.