Reduce Medicaid reimbursement to large private intermediate care facilities for the mentally retarded (ICFs/MR) and community residential facilities for the developmentally disabled (CRFs/DD) by three percent (3%), beginning on April 1, 2010 through June 30, 2011.

Reduced Medicaid reimbursement to Home Health Agencies by five percent (5%), beginning on April 1, 2010 through June 30, 2011.

Reduce Medicaid reimbursement to dental providers by five percent (5%).

Revised reimbursement for the technical component of outpatient hospital radiology services.

Revises Mental Health Rehabilitation Option (MRO) service definitions.

Makes conforming changes to the State Plan to comport with federal requirements (42 CFR Part 483) implementing version 3.0 of the Minimum Data Set (MDS).

Revised reimbursement for physician-administered drugs by replacing the rates currently calculated based on Average Wholesale Price (AWP) with revised rates based on other pricing metrics.

Exempt Medicare cost - sharing benefits paid under the Medicare Savings Program from estate recovery in accordance with MIPPA Section 115.

Exempt Medicare cost - sharing benefits paid under the Medicare Savings Program from estate recovery in accordance with MIPPA Section 115.

Makes conforming changes to State Plan related to section 6411 of the Affordable Care Act which requires States to establish programs to contract Recovery Audit Contractors (RAC) to audit Medicaid providers.