Transfer of Existing RAC Contract from CGI to HMS and Request for Waiver of RAC FTE Medical Director Requirement.

Describes Methodology Used by the State for Determining Appropriate FMAP Rates, Including the Increased FMAP Rates, Available Under the Provisions of the Affordable Care Act Applicable for the Medical Assistance Expenditures Under the Medicaid Program Associated with Enrollees in the New Adult Group Adopted by the State.

Revises the reimbursement methodology for nursing facilities to indicate that payment rates effective February 1, 2011 will be equal to rates in effect August 31, 2010 less three percent.

Revises Payment Methodology for Long-Term Psychiatric Hospitals, Nursing Homes, and Psychiatric Residential Treatment Facility Services.

Revises Reimbursement Methodology for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) to Calculate Add-On Payment for Eligible Individuals Based on the Resource Utilization Groups III (RUG III) Classification System.

Proposes that One or More Qualified Hospitals Determine Presumptive Eligibility and Virginia Provides Medicaid Coverage for Individuals Determined Presumptively Eligible.

Revises the reimbursement methodology for non-state operated intermediate care facilities for persons with mental retardation to indicate that payment rates.

Releases payment division standard dollar amount payments and implements a transitional PDSDA to mitigate the impact of rebasing hospital PDSDA payments from Nov. 1, 2010 through Aug. 31, 2011.

Updates and clarify the state plan regarding supplemental payments inpatient and outpatient hospital services.

Decreases Pharmacy Payment for Estimated Acquisition Costs from AWP 14% to AWP - 16%.