Provides clarification to the reimbursement methodology for psychiatric hospitals.

Changes the reimbursement methodology for the estimated acquisition cost from average wholesale price less 13 percent to AWP less 15 percent.

Establishes a one-time supplemental Medicaid payment to private nursing facilities.

Establishing prospective payment rates for inpatient hospital services by reflecting rate reductions.

Revises supplemental Medicaid inpatient and Disproportionate Share Hospital payments to CO Hospitals.

Update the Governor's delegation of authority letter giving authorization to specific individuals to submit state Plan and/or State Plan Amendments regarding Colorado's Medicaid Program.

Revises the huerarchy of supplemental Medicaid payments, increases supplemental payments; reduces the aggregate state-wide per diem rate, and provides for other minor clarifications for nursing facility reimbursement.

Updates reimbursement for inpatient hospital services.

Updates the State plan to create annual suuplemental payments to all in-state critical access hospitals.

This amendment defines units of mental health rehabilitative services that Medicaid eligible children can receive. Establishes a fee schedule reimbursement methodology for each individual service.