Adds Former Foster Care Youth: Adds eligibility for individuals who were in foster care from states.

Increases payment rates by 2.25% for nursing facility and intermediate care facility for individuals with intellectual disabilities services.

This SPA better defines and establishes the requirements of the Durable Medical Equipment program in order to reduce waste and inappropriately rendered services.

Implements the North Dakota Health Enterprise MMIS, including an update of the covered code list.

EPSDT Blood Lead Screenings Investigations.

Modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services.

Modifies the State's reimbursement methodology for setting payment rates for inpatient hospital services.

Implements Medicaid expansion and an alternative benefit plan for individuals in the new adult group with income under 50% of Federal Poverty Level, individuals who are medically frail, and individuals who live in a region, including and Indian reservation.

Implements Montana Health and Economic Livelihood Partnership Plan and provides ABP Essential Health Benefits, arranged by a Third Party Administrator to individuals in the new adult group with income between 51% -138% of the Federal Poverty Level.

Removes the lower $2.50 dispensing fee, and apply a $3.65 dispensing fee to all Medicaid fee-for-service pharmacy claims without regard to product selection.