Incorporates the citizen and non-citizen eligibility requirements into the Medicaid State Plan in accordance with the ACA.

Revises the targeted case management reimbursement to comply with a Federal District Court Order.

Ensures that reimbursement to Medicaid providers for primary care procedure codes will not exceed 100 percent of the current (January 1, 2011) Medicare rates, and sets all other physician-related reimbursement rates at 90 percent of the January 1, 2011, Medicare rates.

Reduces the primary care case management monthly reimbursement amount and adds several services (laboratory, anesthesiology, radiology, and urgent care- when the PCCM provider's office is closed) to the list of services that do not require a PCCM referral.

Changes coverage for adult beneficiaries by (1) reducing chiropractic coverage from 24 visits per year to six visits per year; (2) limiting podiatry and vision coverage to chronic care situations; and (3) eliminating the audiology benefit.

Provides Medicaid and Children's Health Insurance Program (CHIP) coverage for children under age 19.

Requires a Prior Authorization for non-preferred drug use.

Limits optional Medicaid dental benefits to non-pregnant adults.

Revised to exempt from copayment all Nicotine Replacement therapy products.

Revised to designate the Medical Assistance Director as the authorized state plan submitter.