Adjusts the rates for nursing facilities including those serving AIDs patients, and private Intermediate Care Facilities for the Mentally Retarded including specialized facilities with 16 beds or less.

Increases the pharmacy dispensing fee from 3.00 to 3.90.

Revises the National Medicaid Pooling Initiative Supplemental Rebate Agreement.

Expansion of Psychiatric Consultation Definition.

Targeted Case Management.

Speech Pathologist Licensure any person practicing as a speech-language pathologist in Michigan must be licensed as required by Public Act 524 of 2008.

Restores comprehensive dental services, including dentures, restorative and preventative services, for all adult clients under the State Plan.

Amends Title XIX Outpatient Hospital Plan Reimbursement payment methodology.

Adding the option that hospice care is provided in accordance with section 2302 of the Affordable Care Act.

Continues to provide coverage and reimbursement for this service.