The purpose of this amendment is to increase the Personal Needs Allowance (PNA) from $35 to $105 for individuals and $70 to $210 for couples, for Social Security and Medicaid eligible nursing home residents and for individuals in Intermediate Care Facilities.

Updates Nursing Facility Rate.

Updates GME funding for programs submitted IGA.

To define coverage and the reimbursement methodology for physician administered drugs, implantable drug system devices, diagnostic or therapeutic radiopharmaceuticals and contrast imaging agents in the office setting, effective.

The plan amendment adds three transportation service areas to the non-emergency transportation brokerage program. This amendment change does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment implements a five percent reimbursement reduction for birthing center facility services. The changes does not have a direct impact on Indians, Indian Health Programs, or Urban Indian organizations.

This plan amendment adds supplemental payments for dental services provided by publicly owned dental providers under the Early and periodic Screening, Diagnosis and Treatment program. The amendment does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment implements a five percent reduction for physician services provided in tuberculosis clinics. The amendment change does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment provides cost reimbursement for ambulance services furnished by government providers, changing the interim rate which will be settled to cost. The amendment change will not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

The plan amendment changes the reimbursement methodology for TCM reimbursement for infants and toddlers with developmental disabilities. The changes does not have a direct impact on Indians, Indian Health Programs, and Urban Indian organizations.