Splits the current Developmentally Disabled Targeted Case Management program for Medicaid beneficiaries with developmental disabilities into two programs.

Updates the State Plan by limiting the administrative.

Reduces denture benefits for non-pregnant adults age 21 and older to once in a lifetime for those individuals who are recently edentulous.

Removes the reductions in place for non-state government owned hospitals for operating cost (5.8 percent) and capital costs (10 percent).

Implements a blended reimbursement rate covering both individual and group developmental therapy service.

This SPA increases payment rates for outpatient services by 25% for hospitals with a sole community hospital designation.

To cease reimbursement and coverage of Community Support Services.

Discontinues reimbursement for the Adult Day Health program as of December 31, 2009.

Implements an increase to the resource standards for QMBs, SLMBs and QIs to conform to the resources limits for individuals who qualify for Medicare Part D Low-Income Subsidy.

Revises the reimbursement methods for the Developmental Disabilities program.