To update the State Plan as Tribal Nursing Facilities receive a Tribal 638 authority designation to be reimbursed at the OMB publishing rate.

Rates and DSH for existing (Terence Cardinal Cooke) and newly certified specialty hospitals.

Disproportionate Share Hospitals

Adds language specifically stating that for beneficiaries under 21 years of age, there are no limits for medically necessary home health nursing services, medically necessary home health aide services, medically necessary home health physical therapy, occupational therapy, speech pathology and audiology services.

To disregard refunds issued by the state to individuals who incurred Medicare-related premiums, deductibles, and co-payments as a result of not having been enrolled in the appropriate Medicare Savings Program eligibility group.

This plan corrects omitted language for Private Non-Medical Institutions (PNMIs).