Updates the reimbursement methodology for state owned ICF/IF facilities.

Adds partial hospitalization, ambulatory detox and buprenorphine induction as services for community-based substance use disorders and moves opioid treatment programs under community-based substance use disorders.

This is a technical amendment to correct an error in marking the original submission.

Modifies the formula used to compute nursing facility costs, raising minimum occupancy requirements for selected nursing facilities and updating the cost-rebasing period for the nursing facility per diem rate calculation.

Eliminates non-emergency dental services and dentures for Medicaid recipients age 21 and over except for recipients with a developmental disability as defined by the State.

Behavior rehabilitative services issues detailed in a companion letter issued during the review and approval of WA-10-010.

Revision to the State Plan to eliminates routine vision services and material to non-pregnant adults age 21 and older, except for clients with specific medical diagnoses.

Revises the reimbursement methodology for the Early Intervention/Early Childhood Special Education School Targeted Case Management program.

Changes the reimbursement methodology for children with high-risk diagnosis Targeted Case Management services from a monthly state-wide rate to a per-contact-per individual-per day methodology.

This amendment sunsets the existing reimbursement methodology of paying for Targeted Case Management Services provided to substance abusing parents with young children based on a monthly rate.