Adds clarifying language that licensed chemical maintenance providers in an area bordering Connecticut that meet all applicable requirements are eligible for payment.

Increases the Vaccines for Children administration fee maximum from 8 to 15.

Approved Primary Care Health Home (PCHH) State Plan by adding new qualifying conditions and risk factors for enrollment.

This amendment updates the methods and standards for establishing payment rates for inpatient hospital services.

Updates hospital outpatient reimbursement.

Increase to the reimbursement rates for rehabilitation services and supplemental evaluations for Speech Language Pathologists, Occupational Therapists and Physical Therapists.

Reimbursement update for Pediatric Dental Supplemental Payments.

This amendment implements reimbursement to disaster-struck nursing facilities in the event of emergency evacuations.

Updates SPRY 2019 pool amounts for hospital DSH payment adjustments and Supplemental Access Payments up to the hospital specific DSH limit also private psychiatric hospitals only to the "Deemed DSH" payment methodology.

Revises the July 2019 nursing home supplemental payment, also known as MQIP, for dates of service in the quarter ending June 30, 2019.