Revises the rates for personal care services.

Payment: Outpatient Hospital Services.

Amends payment for services for State Fiscal Year 2017 rate setting for ICF/UD services.

To provide premium assistance for student health insurance offered in the individual market.

Revises the provisions governing qualitfying certiera for disproportionate share hospitals payment to major medical centers in central and northern.

This amendment updates the State's Rural Hospital Disproportionate Share Payment provision.

Modifies the State's methods and standards for setting nursing facility payment rates.

Modifies the State's standards and methods for setting intermediate care facility payment rates.

Updates the payment rates for personal care attendants and transitional living providers.

Updates the reimbursement methodology for outpatient hospital services to remove separate billing for revenue codes 510-519 (clinic services), and to make a corresponding adjustment upward in the percentage of the OPPS rates that VT will pay to participating hospitals.