Increases the income limit for children aged 6 to 18.

Budget Neutral.

This SPA modifies the state's reimbursement methodology for setting payment rates for inpatient and outpatient hospital services.

This amendment modifies the methodology to North Dakota's reimbursement section. Specifically, this amendment adds language that provides for a supplemental payment for skilled nursing facilities with less than 31 beds that are owned and operated by a unit of government.

This amendment modifies the reimbursement methodology to North Dakota's nursing facility reimbursement section. Specifically, this amendment incorporates legislatively approved increases to the bad debt allowance and education costs.

Amends the State Plan to change the Estimated Acquisition Cost calculation as a result of the First DataBank lawsuit.

This amendment incorporates legislatively approved inflation factors and increases to the cost category limits for the 2010 and 2011 rates years; and, excludes noncovered bed hold and late charges from income offsets.

This amendment modifies the reimbursement methodology to North Dakota's Intermediate Care Facilities for the Mentally Retarded (ICF/MRs) by creating a supplemental payment to providers who serve behaviorally challenging or medically fragile individuals whose needs exceed normal thresholds based on criteria established by the department.

This amendment modifies the reimbursement methodology for calculating Disproportionate Share Payments for Critical Access Hospitals.

This amendment modifies the reimbursement methodology to North Dakota's nursing facility reimbursement section. Specifically, this amendment provides an exception to the application of the 90% occupancy limitation for specialized facilities providing services to individuals with traumatic brain injuries or geropsychiatric needs.