Implements a rate freeze for Rehabilitative Services in North Carolina for fiscal years 2014 and 2015.

Implements a rate freeze for Local Education AgencyServices in North Carolina for fiscal years 2014 and 2015.

Removes the currently dormant Kentucky Ken Pac PCCM program from the State Plan.

Amends the name of Perinatal Coordinators to Regional Directors and clarifies program requirements and functions.

To exempt non-profit dental pediatric surgery centers from the provider payment reduction imposed by California Assembly Bill (AB) 97.

Revises preventive service in the Kentucky state plan as outlined in the Affordable Care Act.

Updates the State Plan to indicate that well visits are a covered service for adults.

Revise the process through which cost is determined and Certified Public Expenditures are claimed for California county based Targeted Case Management program

Transfers the state Medicaid fair hearings and appeals process to the Office of Administrative Hearings and defines the role and responsibility of the Commissioners Office in theadministrative appeals process.

Expands the scope of physical occupational and speech therapy services offered to all Medi-Cal populations to include services aimed at the maintenance and acquisition of skills.