114 STAT. 2763A-574 PUBLIC LAW 106-554—APPENDIX F pursuant to a contract between the center or clinic and a managed care entity (as defined in section 1932(a)(1)(B)), the State plan shall provide for payment to the center or clinic by the State of a supplemental payment equal to the amount (if any) by which the amount determined under paragraphs (2), (3), and (4) of this subsection exceeds the amount of the payments provided under the contract. "(B) PAYMENT SCHEDULE. — The supplemental payment required under subparagraph (A) shall be made pursuant to a payment schedule agreed to by the State and the Federally-qualified health center or rural health clinic, but in no case less frequently than every 4 months. "(6) ALTERNATIVE PAYMENT METHODOLOGIES. —Notwithstanding any other provision of this section, the State plan may provide for payment in any fiscal year to a Federally- qualified health center for services described in section 1905(a)(2)(C) or to a rural health clinic for services described in section 1905(a)(2)(B) in an amount which is determined under an alternative payment methodology that— "(A) is agreed to by the State and the center or clinic; and "(B) results in payment to the center or clinic of an amount which is at least equal to the amount otherwise required to be paid to the center or clinic under this section.". (c) CONFORMING AMENDMENTS.— (1) Section 4712 of the BBA (Public Law 105-33; 111 Stat. 508) is amended by striking subsection (c). (2) Section 1915(b) (42 U.S.C. 1396n(b)) is amended by striking "1902(a)(13)(C)" and inserting "1902(a)(15), 1902(aa),". (d) GAG STUDY OF FUTURE REBASING. —The Comptroller General of the United States shall provide for a study on the need for, and how to, rebase or refine costs for making payment under the medicaid program for services provided by Federally-qualified health centers and rural health clinics (as provided under the amendments made by this section). The Comptroller General shall provide for submittal of a report on such study to Congress by not later than 4 years after the date of the enactment of this Act. (e) EFFECTIVE DATE. —The amendments made by this section take effect on Jsmuary 1, 2001, and shall apply to services furnished on or after such date. SEC. 703. STREAMLINED APPROVAL OF CONTINirED STATE-WmE SEC- TION 1115 MEDICAID WAIVERS. (a) IN GENERAL.—Section 1115 (42 U.S.C. 1315) is amended by adding at the end the following new subsection: "(f) An application by the chief executive officer of a State for an extension of a waiver project the State is operating under an extension under subsection (e) (in this subsection referred to as the 'waiver project') shall be submitted and approved or disapproved in accordance with the following: "(1) The application for an extension of the waiver project shall be submitted to the Secretary at least 120 days prior to the expiration of the current period of the waiver project. "(2) Not later than 45 days after the date such application is received by the Secretary, the Secretary shall notify the
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