This amendment adds language providing the Department of Medical Assistance Services (DMAS) with the authority to implement supplemental Medicaid payments to teaching hospitals affiliated with an accredited medical school in Planning District 23 and Planning District 5 based on the department's reimbursement methodology established for such payments and/or its contracts with managed care organizations. The state's share of funding for the supplemental payments shall be provided by the accredited medical schools, Eastern Virginia Medical School and the Virginia Tech Carilion School of Medicine. Companion amendments in Item 247 and 4-5.03 b.3. authorize the transfer of funds from these schools to DMAS for this purpose.