This amendment adds language authorizing the Department of Medical Assistance Services (DMAS) to use an alternate methodology for setting operating rates for nursing homes that provide specialized care (ventilator care, tracheotomy care, etc.) over the 2020-22 biennium until the agency has more reliable managed care cost data. Unlike nursing facility rates that are rebased every three years, and this is a completely separate rate development from the usual nursing facility rates. Because the most recent cost reports to be used for these rates have data integrity problems, this alternative methodology will allow the agency time to ensure the data is accurate and reliable in setting the rates beyond fiscal year 2022.