Allows the state to identify reimbursement methodology changes as a result of the implementation of a new Medicaid Management information system claims payment system.

Adds hospital presumptive eligibility to Montana Medicaid.

Medicaid Professional Fee Schedule Update.

Updates nursing facility overpayment reporting to reflect current Medicaid policy.

Incorporates reimbursement requirements for Hospice Care adopted in the federal Medicare regulations.

Expands the definition of estate for the purpose of estate recovery.

Revises MA's approved CarePlus ABP to allow MassHealth CarePlus members to enroll with either a PCC provider or a CarePlus MCD, without geographic restrictions on the number of available MCO plans.

This amendment continues the reimbursement system for acute care general hospitals using all patient refined-diagnosis related groups and amends the calculation of relative values to a national basis versus the previously used state of NY's relative values as the basis.

Establishes a lower level of reimbursement for short term services provided in psychiatric hospital for individuals under the age of 21.

Adds Intensive Behavior Intervention IBI services for children with autism to Attachment 3.1-A of the State Plan.