This amendment revises reimbursement for inpatient hospital services.

Revises the reimbursement methodology for privately owned and opened intermediate care facilities for intellectually disabled.

Updates the reimbursement methodology for privately-owned inpatient hospital psychiatric services.

This amendment revises the disproportionate share hospital (DSH) adjustment methodology and pool amounts for eligible hospitals.

Presumptive Eligibility.

Revises payment methodology for intermediate care facilities/individuals sith intellectual disabilities services.

Establishes an additional class of disproportionate share hospital payments to promote access to services and to support academic medical programs.

Establishes an additional disproportionate share hospital payment adjustment to qualifying hospitals to promote access in less urbanized areas of Pennsylvania.

Authorizes disproportionate share hospital payments to hospitals promoting access to inpatient hospital services for MA eligible and uninsured persons with cleft palate or craniofacial abnormalities.

Adopts a price-based prospective payment system for Virginia nursing facility services that will transition from RUG-III 34 Medicaid grouper to the RUG-IV 48 grouper.