permits IHS and Tribal facilities to claim Medicaid reimbursement under the FQHC services benefit, including the IHS All Inclusive Rate, provided outside the “four wall” of the facility.

Remove the provision which prohibits a physician from receiving supplemental payments through the Fee-for-Service Physician Upper Payment Limit (UPL) program and the enhanced primary care reimbursement rates simultaneously.

Modify the average commercial rate calculation and frequency of data collection used in the calculation of ambulance supplemental payments.

Adds Medication Assisted Treatment (MAT) as a mandatory benefit.

Modifies the services that licensed pharmacies can receive reimbursement.

Increase Medicaid outpatient reimbursement rates for rural hospitals.

Payment for Services: ICF-IID Payment Changes.

Payment for Services: Nursing Facility Services – SFY 22-23 Budget Bill Changes.

Revises the criteria used to determine safety net hospitals.

Provides authority to amend the method for determining the current asset value bed limit for Class 1 nursing facilities by recognizing an upper limit based on a rolling 15-year history of new construction costs.