Revises Reimbursement Methodology for Non-State Operated Intermediate Care Facilities for Persons with Mental Retardation to Indicate that Payment Rates Effective September 1, 2011 will be Equal to Rates in Effect August 31, 2010, less 5 percent.

Implements an Eight Percent Payment Reduction for Medicaid Services Provided by Non-State Freestanding Psychiatric Facilities.

Updates Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedules and Implements 10.5 Percent Average Reduction to Reimbursements Paid to Providers.

Implements 8% Rate Reduction, Modifies Calculation of Standard Dollar Amount (SDA), and reduces the percent used in computation of outlier payments for inpatient hospital services reimbursed under the diagnosis related group (DRG) prospective system.

Adds Categorical Determinations to Preadmissions Screening and Resident Review Program.

Proposes to Disregard Payments Made to Compensate Individuals Who were Involuntarily Sterilized Pursuant to the Virginia Eugenical Sterilization Act (And who are living as of February 1, 2015) in Determination of Medicaid Eligibility for New or Current Enrollees.

Implements Community First Choice (CFC) State Plan Option to Provide Home and Community-Based Attendant Services and Supports.

Establishes a Dental Services Rate to be Paid to Encounter Rate Clinics.

Updates Coverage and Limitations: Rehabilitative Services Provided by Community Mental Health Facilities and Alcohol and other Drug Treatment Programs.

Clinic and Transportation Services.