Updates North Dakota Medicaid clinic services' rates.

Updates to home health face-to-face visits and revised payment rates for personal care services.

To remove Amador, Kern, Mendocino and Sacramento counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Children Under The Age of 21" TCM group.

To remove Amador, Kern and Mendocino counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Medically Fragile Individuals" TCM group.

To remove Kern and Mendocino counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization" TCM group.

To remove Amador, Marin, Mendocino, Nevada and Sacramento counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes" TCM group.

To remove Amador, Kern, Mendocino, Sacramento and San Joaquin counties from the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease" TCM group.

Increases payment rates for dental services provided to children.

This amendment clarifies the Disproportionate Share Hospital (DSH) interim payment calculation process, including clarifying and amending the State DSH survey reporting requirements and exceptions process to receive an interim DSH payment or an adjustment to the interim DSH payment.

This amendment reverses the 4.0% rate decrease that was applied to Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) payment rates on July 1, 2016.