Termination of Health Homes Program.

Expands Health Homes into 8 additional counties with 7 providers. Will pilot a high fidelity wraparound model with 2 providers for children/adolescents. One provider will be first Tribal Health Home.

Implements inpatient supplemental payments for inpatient hospital services to specified acute care hospitals in the amount of $435.2M for state fiscal yr 2018 and $353.5M for FY 2019.

Implements inpatient supplemental payments for inpatient hospital services to small independent hospitals in the amount of $12.85M for FY 2018 and FY 2019 separately.

Exempts the State from the requirement for a full-time medical director, with an increased look back period and an increased contingency fee percentage to facilitate the State's attempt to procure an RAC contractor.

Provides annual payments of $70M to be distributed proportionately among all nursing homes to supplement rate year base payments.

This combines the current Developmental Day Treatment Clinic Services (DDTCS) for children and Child Health Management Services (CHMS) into a single program designated as Early Intervention Day Treatment (EIDT).

This decreases nursing facility (NF) and HIV NF per diem rates by $5.37 effective for dates of service beginning August 1, 2017 and running through June 30, 2018. Effective July 1, 2018, the rate of decrease will be reduced from $5.37 per day to $4.83 per day, an increase in per diem rates of $.054.

This amends the State plan to make various changes to the reimbursement of chemical maintenance clincis including:pro-rating the weekly rate to account for weeks in which services are provided on fewer than seven days in the week, specifying in detail the services that are included in the rate, and providing for specific types of documentation regarding the services that are provided.

Plan to continue supplemental payments to the state government owned and operated hospital. The supplemental payments were initially implemented effective July 1, 2016, as part of the change to a reimbursement methodology using an ambulatory payment classification (APC) system based on Medicare's system but modified for Connecticut's Medicaid program.