Proposes to revise the payment methodology forHead Injury beds. Ventilator Nursing beds and Nursing Facilities.

Revises the payment methodology for head injury, ventilator and geopsychiatric nursing.

Allows caretakers relatives to voluntarily enroll under your benchmark program, the Mountain Health Choice Program.

Updates the physicians and other practitioners' fee schedules.

The plan amendment implements provisions for coverage and reimbursement for fluoride varnish applications for recipients in Rural Health Clinics.

Updates the service description and limits of personal care services.

Allows the State to implement immediate auto-assignment of pregnant women whose Medicaid eligibility is limited to prenatal, delivery, and post-partum services to the Bayou Health Program.

Provides for supplemental Medicaid payments to non-rural, non-state acute care government hospitals.

To continue medical education payments to state hospitals; children's spciialty hospitals and acute care hospitals classified as teaching hospitals when the hospitals are reimbursed by prepaid risk-bearing managed care origanizations for inpatient hospital services.

The plan amendment implements provisions for the coverage and reimbursement for fluoride varnish applications in a physician office setting. The change did not require a tribal consultation.