Non-Institutional Trend Factor Adjustment (FMAP = 58.78% (1/1/09-3/31/09); 60.19% (4/1/09-6/30/09); 61.59% (7/1/09- 9/30/10)).

Medically Needy Income & Resource Levels - Optional State Supplemental Payments (FMAP=58.78% (1/1/09-3/31/09); 60.19% (4/1/09-6/30/09); 61.59% (7/1/09-9/30/10).

Discontinue 2008 & 2009 Trend Factor-Non Institutional (FMAP = 60.19% (4/1/09-6/30/09); 61.59% (7/1/09-09/30/10)).

Three Month Reduction in 2010 Trend Factor-Non-Institutional (FMAP = 61.59% (1/1/10-3/31/10)).

2010 Non-Institutional-Trend Factor Elimination (FMAP = 61.59% (4/1/10-12/31/10); 58.77% (1/1/11-3/31/11); 56.88% (4/1/11-6/30/11); 50% (7/1/11 forward)).

NH Bed Rightsizing Program (FMAP = 61.59% based on effective date).

AIDS Adult Day Health Care (FMAP = 56.88% 4/1/11-6/30/11; 50% 7/1/11 forward).

Increase in co-payments.

Inpatient Hospital Rate Reduction.

Primary Care Provider Payment Increase.