Provides for a technical correction of State plan language regarding the version of Resource Utilization Group/Min Data Set used as part of Nevadas nursing facility rate-setting.

Clarifies the limitations place on medical and surgical services proficed by a dentist and corrects the preprint numbering relating to this item.

Prohibits the estate recovery of Medicare cost sharing benefits for dual eligible beneficiaries age 55 and over.

SPA Establishes a Recovery Audit Contracotr (RAC) program to contract with one or more Medicaid contractors for the purpose of identifying upderpayments and overpyaments of Medicaid claims.

This state plan amendment is to memorialize the State of Nevadas tribal consultation process as extracted from the document Tribal Consultation Process Nevada Department of Health and Human Services (NDHHS) and the Indian Tribes in the State of Nevada. The consultation process has been in effect since March 2010. The effective date of the state plan amendment is October 1, 2010 based upon guidance from the Centers from Medicare and Medicaid Services (CMS). ln addition, CMS requires the consultation process to be added under the authority of the Medical Care Advisory Committee (MCAC).

Update to TANF Need Standard Deductible, Personal Needs Allowance due to 2011 Federal Poverty Level Increase.

Update State Plan to document participation in Public Assistance Reporting Information System (PARIS) as mandated.

Added section 4.44 Medicaid Prohibition on Payments to Institutions or Entities Located Outside of the United States: which validates that the State shall not provide any payments for items or services provided under the State Plan, or under a waiver, to any financial Institution or entity located outside of the United States.

Update of State Plan Methodology for End Stage Renal Disease (ESRD) to reflect a fifteen percent (15%) reduction.

Update of State Plan for hospital-based and freestanding Ambulatory Surgical Centers.