Provides temporary Vital Access Provider/Safety Net Provider (VAP/SNP) enhanced payments to seven financially distressed nursing homes.

Payment for Services: Non-institutional fee schedule update.

Removes the requirement that PACE programs provide services through a coordination site that is licensed as an Adult Day Health Center by the Virginia Department of Social Services.

Reimbursement update for Rates for OHS.

Continuing certain additional DSH payments to facilities serving cities with per capita income less than statewide averages.

Continuing certain additional DSH payments to qualifying hospitals with trauma centers.

Continuing supplemental payments to county NFs with a Medicaid occupancy rate of 85% or more.

Authorizing supplemental payments to certain qualifying non-public nursing facilities in a county of the first class.

Authorizing supplemental payments to certain qualifying non-public nursing facilities in a county of the eighth class.

Continuing certain additional DSH payments to critical access hospitals and qualifying rural hospitals.