Differentiates payments for routine home care based on the beneficiary's length of stay and implements a service intensity add-on payment for services provided in the last seven days of a beneficiary's life in certain circumstances.

Revises State Plan payment rates for certain professional services and durable medical equipment.

Updates the clinical diagnostic laboratories fee schedule.

Deletes pages superseded by previous state plan amendments.

Updates the Early and Periodic Screening Diagnosis, and Treatment program physician fee schedule.

Updates the physicians' and other practitioners' fee schedules.

Updates the clinical diagnostic laboratories fee schedule.

Three Percent reduction to reimbursement for vaccine administration.

Three Percent Outpatient Hospital Provider Rate Reduction.

Three Percent Physician & Physician Assistant Services Rate Reduction.