SNF/Ped Facilities that Serve Exceptional Care Patients and Have 30% or More of Their Patients Receiving Ventilator Care Shall Receive An Additional Payment of $165.52 Per Day for Ventilator Care.

Makes Comprehensive Revisions to Large Sections of the Inpatient and Outpatient Service Definition and Reimbursement Sections of the State Plan.

Increases the RUG-IV Nursing Base Per Diem From $83.49 to $85.25.

Provides for a Per Diem Rate Reimbursement for Long-Term Care Facilities Serving Persons Less than 22 Years of Age with Clinically Complex Residents.

Allows Hospitals Separate Reimbursement for Long Acting Reversible Contraceptive (LARC) Devices Provided in the Inpatient Hospital Setting Immediate Postpartum.

Adds Licensed Alcohol and Drug Counselors and Licensed Alcohol and Drug Counselor Associates as Service Providers to the State Plan.

Changes Provisions Governing Outpatient Hospital Services In Order to Remove the 12 Visits Per Year Limit on Physician Services Provided in a Clinic in an Outpatient Hospital Setting.

Reflects Changes Necessary to Convert the Community First Choice Program to An Agency-Only Model.

Updates the APR-DRG From Version 31 to Version 32 with the Base Price Set At A Budget-Neutral Amount Per Stay.

Incorporates the MAGI-Based Adult Group and Parents and Other CareTaker Relatives Into Montana Medicaid State's Plan in Accordance with the Affordable Care Act.