Uniform Rate Reductions - Nursing Homes (Based on FMAP of 56.88% for 4/1/11 -6/30/11).

Eliminate 2011 Trend Factor - IP (FMAP = 56.88% 4/1/11-6/30/11; 50% 7/1/11 forward).

Eliminate 2011 Trend Factor - LTC (FMAP = 56.88% 4/1/11-6/30/11; 50% 7/1/11 forward).

Across the Board Reduction - IP (FMAP = 56.88% 4/1/11-6/30/11; 50% 7/1/11 forward).

ATB Reduction Non-Institutional (FMAP = 56.88% 4/1/11-6/30/11; 50% 7/1/11 forward).

Diabetes Self Management Training (FMAP = 50%).

Addition of 2/4/50 Partnership total asset protection plan and that the New York State Partnership Program enter into reciprocity agreement with (currently) 40 other states. (FMAP = 50%).

Potentially Preventable Conditions (PPCs)/Potentially Preventable Readmissions (PPRs) (FMAP = 50% 7/1/11 forward).

Termination of Targeted Case Management Programs: TASA, CONNECT and NBA. (FMAP = 50%) *Annual Savings Breakdown; TASA=($3,933,259); CONNECT=($152,499); NBA=($123,188).

This amendment will also carve out medication costs from the inpatient PR TF rates.