This amendment revises reimbursement for inpatient hospital services. Specifically, the amendment implements a reduction to inpatient hospital base rates by one percent, effective July 1, 2010. In addition, supplemental inpatient Medicaid and Disproportionate Share Hospital payments are modified, effective October 1, 2010.

Establishes a two and three-tenths percent reduction to the nursing facility per diem rates for SFY 2010-11.

Dental Services, Expansion of services that require prior authorization and increase provider reimbursement rateDental Services, Expansion of services that require prior authorization and increase provider reimbursement rate.

Denturist Services, Expansion of services that require prior authorization and increase provider reimbursement rate.

Dental Hygienist Services, Expansion of services that require prior authorization and increase provider reimbursement rate.

Increase the income guidelines for children under sections 1902(a)(10)(i)(VI) and (VII) of the Act to 133% FPL.

Update service 5A Physician Services to provide more clarity and to remove redundant sections (Optometric and Laboratory services) that have their own state plans now.

Audiology Payment Methodology Change.

Hearing Aid Payment Methodology Change & Limitations and Prosthetic Devices.

4.19B Methods & Standards for Establishing Payment Rates for Service 10 Dental Services.