Updates the Outpatient Hospital Multiplier.

Creates Separation Between the Adult and Children's Dental Services and Revises Reimbursement for Dental Services.

Recognizes the Medicaid Beneficiary's Place of Residence as an Originating Site.

Revises the Multi-State Purchasing Pool Supplemental Rebate Agreement (SRA) for Pharmaceutical Products to Include Medicaid Managed Care Organization (MCO) Utilization for the Accrual of Supplemental Rebates.

Gives participants enrolled in presonal care services an option of utilizing an alternative method to receive and manage their services.

Extends the Three Percent Rate Reductions for Home Health Agency Services that Are Currently Set to Expire on June 30, 2015.

Increase the rate paid for targeted case management services provided to infants and toddlers.

Revises the reimbursement methodology for targeted case management to provide for billing in 15 minute increments and to establish cost reporting requirements for targeted case management.

Implements a 2.6% rate increase for under 16 bed ICF/MR facilities.

To implement a conflict-free case management, adds a small population of clients transitioning into the community from nursing facilities and revises the current reimbursement methodology for targeted case management beneficiaries age 60 and older.