Implements a dispensing fee decrease from $11.73 to $10.02 per prescription, based on a recent cost of dispensing survey of Iowa Medicaid enrolled pharmacy providers.

To modify coverage and rates payable to Indian Health Services and eligible tribal health facilities operating under P.L. 93-638.

Provides annual assurance of the pharmacy program adherence to the requirements of the Federal Upper Limits (FUL) federal regulation for the time period October 1, 2015 through September 30, 2016.

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

Adds Montifiore Medical Center to the list of facilities receiving a temporary rate adjustment.

To continue complying with economy and efficiency as required by section 1902(a)(30) of the Social Security Act to an acceptable reimbursement methodology with regards to the Supplemental Teaching.

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

Modifies the State's reimbursement methodology for setting payment rates for nursing facility services.

Freezes the rates in effect as of June 30, 2015 for swing beds and lower level.

Freezes the diagnosis related group (DRG) base rate in effect as of June 30.