Medicaid Recovery Audit Contractor Program.

Extension to the sunset provision to continue cost settling the clinical diagnostic lab services provided in the outpatient hospital setting.

Updated hospital specific outpatient multipliers effective October 1, 2009.

Adjust co-payments.

The State shall not provide any payments for items or services provided under the State plan or under a waiver to any financial insittution or entity located outside of the United States.

Provider service rate reductions.

Outpatient hospital payment reductions effective July 11, 2011.

Adjust co-payments.

The Patient Protection and Affordable Care Act (P.L 111-148) as Amended by the Health Care and Education Act of 2010 (P.L 11-152), Title II, Subtitle D, Section 2301 established care provided in free-standing birth centers as a mandatory Medical Service.

Limiting patient discharges from hospitals to nursing facility within a 50 mile radius only will be eliminated.