Aligns the resource limit for Qualified Medicare Beneficiaries Specified Low Income Medicare Beneficiaries and Qualifying Individuals with the resource limit for individuals who qualify for the full subsidy under the Medicare Part D Low Income Subsidy program.

Expands the Personal Choices Program by adding Mobile, Escambia, and Baldwin counties as additional coverage areas within the State of Alabama.

Provides assurances that the State is in compliance with the screening and enrollment of providers.

Transitions the Alabama Patient 1st primary care case management program from a 1915 b Waiver authority to the State Plan Authority.

Requests an exception from the Medicaid Recovery Audit Contractor Program.

Prohibits Medicaid payments to institutions and entities located outside of the United States inaccordance with Section 6505 of the Affordable Care Act.

Transitions the American Samoa Medicaid Single State Agency from the LBJ Tropical Medical Center to the Office of the Governor.

Updates the amounts of Arizona graduate medical education and indirect medical education payment pools.

Updates the outpatient hospital reimbursement rates.

Eliminates medically necessary dentures for adults and updates the effective date of the Arizona Medicaid Fee Schedule for reimbursement of the applicable non-institutional services.