Adjusts payment rates for the Primary Home Care (PHC) program in support of increasing the PHC attendant base wage.

Provide specialized hospital-based developmental disability and mental illness.

Adds coverage of Health Home services for opioid dependence to the state's approved ABP.

Revising the Community First Choice (K-Plan) option which increases the local case management benefit limit on assistive technology, implements an enhanced Foster Care model which would allow for some children with intellectual and developmental disabilities to be diverted from children's residential placement to less costly and restrictive placements, adds Support Technology where advanced supervision is necessary.

Implements Supplemental Emergency Medical Transportation (SEMT) payment program.

Updates the home health and personal care services fee schedules.

Nursing Facility Rate Update and New Cost of Capital Reimbursement System.

Updates the base year used to determine payments under the Average the Average Commercial Rate (ACR) method for the Supplemental Teaching Physicians (STP) Payment program.

Nonpublic nursing facility supplemental payments and county nursing facility Medical Assistance Day One Incentive payments and funding levels for fiscal year 2019-2020.

Budget Adjustment Factor (BAF) Formula for County Nursing Facilities and Extension of the BAF for Rate Years 2019-2020, 2020-2021 and 2021-2022.