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Adult Day Care Centers; Excepting certain adult day care services from certain established or negotiated Medicaid reimbursement rates; providing for reimbursement of adult day care services based on a fee schedule established pursuant to a tiered payment system; requiring adult day care center operators to complete a 9-hour continuing education course each year; providing that classroom hours spent teaching an approved course or lecturing at an approved seminar may be counted toward fulfilling an operator’s continuing education requirements, etc.