This amendment modifies the payment methodology for a private Chronic Disease and Rehabilitation hospital that has no fewer than 500 licensed beds as of June 30, 2007. Specifically, it allows a 4.3 % increase in annual aggregate expenditures for per diem rate one (1) under section l(C))(l)(A).

Establishment of Puerto Rico poverty level (PRPL) for non-ABO (aged, blind, and disabled) coverage groups, expansion of income threshold to 133% of PRPL for R(2) groups.

This amendment implements the new option created by section 214 of the Children's Health Insurance Program Reauthorization Act of 2009 that permits States to extend federally-funded health insurance coverage to certain special status immigrant pregnant women and children.

This amendment revised the reimbursement methodology for prescribed drugs.

This amendment revises the rate methodology for Private Psychiatric Hospitals and Substance Abuse Treatment Hospitals. Specifically, it provides a rate increase of 1.1459% for the Private Psychiatric Hospitals and a rate increase of .719% for the Substance Abuse Treatment Hospitals.

This amendment revises the methodology used to calculate payment rates for inpatient hospital services. Specifically, it modifies the acute inpatient hospital reimbursement methodology for hospital rate year (RY) 2010. In addition, it allows a one-time supplemental payment of $5 .9 million to qualified providers.

This amendment specifies cost adjustments for inflation to the Chronic Disease and Rehabilitation hospitals inpatient rate methodology. It also allows a reduction in the payment rate for administrative Day and an update to Per Diem Rate two (2) for private non-acute hospitals that had no fewer than five hundred (500) licensed beds as of June 30, 2007.

This amendment complies with Section 1 12 of Medicare Improvements for Patients and Providers Act (the "Act"), which amended section 1905(p)(l)(C) of the Act to make the resource limit for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB) and Qualified Individuals (QIs). conform to the resource limit for individuals who qualify for the full subsidy Medicare Part D low income subsidy.

This amendment complies with Section 1 15 of the Medicare Improvements for Patients and Providers Act of 2008, which requires States to exempt Medicare cost-sharing benefits paid under the Medicare Savings Programs (MSPs) from estate recovery under section 191 7(b)(l) of the Act.

State Governor' s Review.