Authorizes an update to certain Medicaid fee-for-service rates.

Adjusts the premium scale for the Medicaid for Employed People with Disabilities (MEPD) program.

Updates the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program fee schedule.

Administrative update to address companion issues with the approval of SPA 19-0003.

Revises the payment methodologies for personal care attendant rates.

Updates the fee schedules for MO HealthNet State Plan services due to a 1.5% increase to certain providers as appropriated by the State Legislature.

Increase the enhanced payment for services provided by state university affiliated physicians from 140 percent to 175 percent of the Medicare Physician Fee Schedule.

Updates physicians' and other practitioners' fee schedule.

increase the Medicaid rates for Assisted Living Facilities, Adult Family Homes, Adult Day Health, Agency Providers, Independent Providers, Enhanced Service Facilities, Nursing Facilities, and Nursing Facility Swing Beds.

Revise the reimbursement methodology for Rural Health Clinics.