update cost effectiveness payment methodology from median to agency set criteria.

updates the state's disproportionate share hospital (DSH) payments for the DSH state plan rate year ending 2022.

increases Medicaid Direct rates for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), including ICF/IID-level group homes, enrolled in the Medicaid / NC Health Choice program. ICF/IID providers receiving this rate increase shall be required to use at least eighty percent (80%) of the funding that results from the rate increase to raise pay rates to direct care employees.

changes the terminology of quality incentive payments to value based payments and increases the value-based threshold.

reimburse teaching physician providers under the Average Commercial Rate method under the Supplemental Teaching Physician (STP) Payment Program.

extends the Private Hospital Supplemental Fund program for the state fiscal year ending 2023.

 This amendment updates third-party liability and payment of claims in accordance with requirements in the Bipartisan Budget Act (BBA) of 2018 and the Medicaid Services Investment and Accountability Act (MSIAA) of 2019.

provides state fiscal year 2022 Graduate Medical Education payment pools for new programs or expanded positions.

updates Outpatient Hospital Supplemental Payments

updates pricing for medical supplies and DME