State Plan Amendments

COVID-19 Update: Changes to Medicaid policy and procedure deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval, such as those related to COVID-19, are exempt from the legislative requirement to publish the proposed policy or procedure for public comment prior to implementation. To keep abreast of these exempted changes to policy and procedure related to COVID-19, refer to the Coronavirus (COVID-19) Medicaid Information website. Here you will find guidance to Medicaid providers, guidance for MCOs via Health Plan Advisories, emergency rules and requests the Department has submitted to the Centers for Medicare & Medicaid Services (CMS). Broader information related to COVID-19 can be found at

Louisiana’s Medicaid State Plan is an agreement between the state and the Federal government describing how Louisiana administers its Medicaid and children’s health insurance programs (CHIP). State Plan amendments (SPA) are requests from Louisiana to the Centers for Medicare & Medicaid Services (CMS) to make a change to the Louisiana Medicaid program’s policies or operational approach, make corrections, or updates to the state plan with new information. For information about current State Plan amendment submissions click here

Below are SPAs Louisiana will send to CMS for review and approval beginning August 1, 2019. To provide feedback, please complete this form.

Item Number State Plan Title Summary of Change Date Posted Public Comments Due By Document Links


Inpatient Hospital Services Coverage Donor Breast Milk

The purpose of this SPA is to adopt provisions governing reimbursement outside of the inpatient hospital per diem for donor human breast milk provided to hospitalized premature newborns in order to ensure access to an effective treatment to reduce the incidence of severe complications.

6/3/20  7/3/20   

Attachment 3.1-A, Item 1, Page 46

Attachment 4.19-A, Item 1, Page 15