Increases the seventeen levels of Medicaid payment rates by $0.14 for licensed Adult Family Homes serving Medicaid clients.

Targeted Case Management.

Establishes a one percentage point increase in the federal medical assistance percentage for adult vaccines recommended by the Advisory Committee on Immunization Practices and clinical preventive services assigned a grade of A or B by the United States Preventive Services Task Force.

Excludes from coverage benzodiazepines for all conditions and barbiturates for the treatment of epilepsy, cancer and chronic mental health disorders for full benefit duel eligible as Medicare Part D will provide this coverage.

Currently, the Department reimburses HIS providers for non pharmacy Medicaid-covered medical services based, on an encounter-rate that is set annually by the U. S. Department of Health and Human Services.

Allows the Department of Juvenile Justice (DJJ), as the operating agency to contract with a quality improvement organization (QIO), modify the diagnostic criteria in the target group section due to recent revisions to the International Classification of Diseases and to update the number of unduplicated individuals to be served annually to include year's two through five.

Adds Imperial County to the list of geographic areas offering Targeted Case Management services for Medically Fragile Individuals.

Revises reimbursement methodology for nursing facility services.

Revises the National Medicaid Pooling Initiative (NMPI) Supplemental Rebate Agreement (SRA) previously submitted to CMS on March 20, 2008 to include definitions and structural changes that would provide the option of including Medicaid managed care utilization for accrual of supplemental rebates.

Opioid Treatment Program Health Home Services.