This amendment provides the Department of Medical Assistance Services (DMAS) with the authority to implement supplemental Medicaid payments to teaching hospitals affiliated with the Virginia Tech Carilion School of Medicine 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 Virginia Tech Carilion School of Medicine. A companion amendment in Item 211 authorizes the transfer of funds from this school to DMAS for this purpose.