Remove Lake and Madera Counties from and add Mendocino County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals with a Communicable Disease" TCM group.

Remove Lake County from and add Mendocino County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals in Jeopardy of Negative Health or Psycho-Social Outcomes" TCM group.

Removes Lake, Madera, Monterey and San Joaquin Counties from and add Mendocino County to the list of geographic areas offering Targeted Case Management (TCM) services for the "Individuals at Risk of Institutionalization."

Remove Lake and Madera Counties from and add Mendocino and Shasta Counties to the list of geographic areas offering Targeted Case Management (TCM) services for the "Medically Fragile Individuals" TCM group.

Extends the current three percent (3%) rate reduction for outpatient hospital services.

"Utilization/ Quality Control - In House" which transmitted language to amend the NH Title XIX State plan to shift quality improvement work previously carried out by a vendor to NH departmental staff.

Amends the amount that would otherwise be paid methodology for the KS' Program of All-Inclusive Care for the Elderly (PACE).

Continues the three percent 3% reduction for inpatient hospital services.

Reimbursement for medical equipment and medical supplies into compliance with the 21st Century Cures Act of 2016 and State Medicaid Director letter 18-001.

Reimbursement update for TCM DD.