An alternative Benefit Plan (ABP) that will align benefits between the ABP and amendments to Attachment 3.1A, and will authorize enrollment of expansion population into the Virginia Medicaid Managed Care (Medallion 4.0) program and the Commonwealth Coordinated Care (CCC) Plus program.

This proposes to utilize the income determination for the SNAP program to support Medicaid eligibility determinations as part of Medicaid expansion.

The amendment continues provisions for Medicaid day-one-incentive (MDOI) payments to county nursing facilities.

Outpatient Hospital Rates & Methodologies - Discontinue Nursing Allied Health Activities Add-on.

Reimbursement rates for physician administered drugs are current.

This revises the subacute pool of the supplemental payments, funded by a quality assurance fee, for private hospital inpatient services.

This revises the redistribution method for disproportionate share hospital (DSH) payments recovered from providers.

This increases the reimbursement rate for facilities licensed by the Department of Public Health under the ID/DD Community Care Act as an ID/DD facility and medically complex for the developmentally disabled facilities licensed under the MC/DD Act.

This amendment modifies the State Plan to update Delaware's current Federally Qualified Health Center (FQHC) reimbursement policy to better align with the costs of operating Delaware FQHCs.

This increases the Medicaid payment for Medicare Part B Coinsurance claims for Independent Practitioner Services for Individuals with Developmental Disabilities (IPSIDD) and for freestanding clinic (Article 28) claims for the Traumatic Brain Injury (TBI) Waiver Population.