Extends the Ambulatory Patient Group (APG) methodology for hospital-based clinic and ambulatory surgery services, including emergency room services, and revises the APG methodology.

Updates the methods and standards for establishing payment rates for inpatient hospital services.

Clarifies State Operated Intermediate Care Facilities for Individuals with Intellectual Disability language.

Increases the physical therapy visit limit from 20 visits to 40 visits per member in a 12-month period.

This eliminates a separate reimbursement methodology for bariatric surgery from the State plan and transfers reimbursement for this service to the routine DRG system.

Ending premiums for infants.

Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization" TCM group.

To remove El Dorado, Kings, Placer and Yuba counties from the list of geographic areas offering Targeted Case Management (TCM).

To remove El Dorado, Kings, Placer and Yuba counties from the list of geographic areas offering Targeted Case Management (TCM).