Provides a new methodology to distribute DSH payments for indigent care.

Describes the Modified Adjusted Gross Income MAGI Citizenship and Immigration Status Requirements.

Incorporates MAGI-Based Single State Agency Delegation of Authority Requirements.

Revises Reimbursement Methodology for Capital Interim Payments (CIP).

Revises Methods and Standards for Determining Payment Rates for Services Provided by Nursing Facilities (NF) that has Completed a Renovation, Replacement, or Upgrading Project that has been approved under the Moratorium Exception Process.

Implements Estate Recovery Hardship Waiver.

Revises Rates and Methodologies for Reimbursement for Inpatient Hospital Services.

Interagency Agreements # 2 and # 3 with Minnesota Department of Health.

Updates Payment Rates for Drugs Administered in Outpatient Settings and Update Coverage of Vitamin and Mineral Products.

Provides Cost Reimbursement, Funded by Public Expenditures, for Outpatient Hospital Services.