Expands the documentation options for Local Education Agencies (LEAs) to receive Medicaid reimbursement for nursing, counseling, occupational therapy, speech language therapy and physical therapy services. Also adds vision screening services and clarifies the definition of hearing services.

Removes the Nursing facility cost report and chart of accounts from the State Plan.

Revises its distribution method for disproportionate share hospital services.

Children's Health Home rates.

Increases the physician office and outpatient hospital visit limit from twelve (12) to sixteen (16) per state fiscal year for both psychiatric and non-psychiatric services.

Modifies Health Home proposal to expand the Assertive Community Integration Support Team (ACIST) program which supports individuals with Severe and Persistent Mental Illness (SPMI) and intellectual and developmental disabilities (I/DD).

Updated the fee schedule effective updates for several Medicaid programs and services.

Continues disproportionate share hospital payments to facilities designated as critical access hospitals and qualifying rural hospitals.

Continues disproportionate share hospital payments to hospitals with qualifying burn centers.

Hospital payments to hospitals with qualifying trauma centers.