Exempts urgent care facilities and retail convenience clinics from the Primary Care Case Management requirement for written referral or authorization.

Clarifies that hospital pre-certification and length of stay criteria apply to reimbursement for inpatient physician services.

Amends the disproportionate share hospital reimbursement methodology to establish a DSH category and payment methodology for hospitals that participate in the Low Income and Needy Care Collaboration.

Establishes the state appropriation for the Private, Non-Rural Community Hospital Disproportionate Share Hospital pool for State Fiscal Year 2010.

Provides for supplemental payments to inpatient non-rural, non-state hospitals that enter into an agreement with a state or local governmental entity for the purpose of providing healthcare services to low income and needy patients.

Implements a prior authorization process for coverage of certain high-tech imagining services.

Allows the State to use findings from specified public agencies to evaluate a child's initial eligibility for enrollment or renewal for the Medicaid/LaCHIP program.

Adds a supplemental payment to qualifying non-rural, non-state acute care hsopitals designated as major teaching hospitals.

Increases the reimbursement rates for all inpatient non-rural hospital services.

Changes the deadline for hospitals to sign an agreement to participate in the Mental Health Emergency Room Extensions DSH pool.