This amendment adds funds to provide a 2.5 percent increase in the Medicaid waiver reimbursement rate for adult day health services. Adult day health care is much less expensive than alternative care in a nursing facility for which these clients qualify. Providers of adult day health care report a gap of $18.13 per client per day between actual costs and Medicaid reimbursement, which must be made up through contributions from individuals, churches, corporations, and foundations. These services are almost exclusively provided to Medicaid waiver recipients. This amendment will increase the statewide rate paid for Medicaid adult day health care services from $60.10/unit to $61.60/unit in Northern Virginia and from $55.65/unit to $57.04/unit in the rest of the state. A 'unit' represents 6 or more hours in a day.