Medicaid State Plan Amendments 2014

 In compliance with Act 212 of the 2013 Regular Session of the Louisiana Legislature, LDH has made State Plan amendments (SPA) available for public view dating back to July 1, 2013. Since the date of implementation, the Department has posted pending SPAs. Some amendments are still pending from prior years, others have been approved since July 1, 2013 and posted to the site. It should be noted that the SPAs are listed by calendar year as they are created under transmittal numbers indicating the year and chronological order of creation during that year. SPAs approved prior to July 1, 2013 can be found within the main text of the comprehensive State Plan.

14 - 01 Medicaid Eligibility - Disability Medicaid Program Termination  *APPROVED*
14 - 02 Medicaid Eligibility - LaMOMS Program - Eligibility Changes for Pregnant Women *WITHDRAWN*
14 - 03 Medicaid Eligibility - Medicaid Purchase Plan Eligibility Changes  *APPROVED*
14 - 04 Medicaid Eligibility - Provisional Medicaid Program  *APPROVED*
14 - 05 Home Health Program - Rehabilitation Services Rate Increase *APPROVED*
14 - 06 Applied Behavioral Analysis Therapy-Based Services  *APPROVED*
14 - 07 Rehab Clinics-Occupational and Physical Therapies-Reimbursement Rate Increase *APPROVED*
14 - 08 Rehabilitation Services - School Based Health Centers - Rehabilitation Services Rate Increase *APPROVED*
14 - 09 Pediatric Day Health Care Program *APPROVED*
14 - 10 ICF-ID Provider Fee Increase *APPROVED*
14 - 11 Pharmacy Coverage Changes (no restriction of Benzo, Barb or smoking cessation) *APPROVED*
14 - 12 Disproportionate Share Hospital Payments Non-Rural Community Hospitals *APPROVED*
14 - 13 Family Planning Services (Transistion from Waiver to SP) *APPROVED*
14 - 14 Dental Benefits Prepaid Ambulatory Helath Plan *WITHDRAWN*
14 - 15 Coordinated Care Network-Recipient Participation  *APPROVED*
14 - 20 Laboratory and Radiology Services - Reimbursement Methodology Manual Pricing *APPROVED*
14 - 21 Professional Services Program - Physician Services - Reimbursement Methodology *APPROVED*
14 - 22 Outpatient Hospital Services - Removal of ER Visit Limits *APPROVED*
14 - 23 Nursing Facilities-Per Diem Rate Reduction *APPROVED*
14 - 24 Elective Deliveries - Inpatient Hospital Services *WITHDRAWN*
14 - 25 DSH Payments - LA Low-Income Academic Hospitals *APPROVED*
14 - 26 EPSDT - PCS -  Removal of Parental Availability  *APPROVED*
14 - 27 Target Case Management Reimbursement Methodology *APPROVED*
14 - 28 MAGI Family Planning Services *APPROVED*
14 - 29 Inpatient Hospital Services - Out of State Hospital Reimbursement Methodology *APPROVED*
14 - 30 Professional Services Program - Reimbursement Methodology Elective Deliveries *APPROVED*
14 - 31 Inpatient Hospital Services - reimbursement Methodology (Add GME) *WITHDRAWN*
14 - 33 Louisiana Behavioral Health Partnership 1915(i) Behavioral Health Services *WITHDRAWN*
14 - 34 Medical Transportation Program - Emergency Aircraft Transportation Rotor Winged Ambulance Services Rate Increase *APPROVED*
14 - 35 Behavioral Health Services - Therapeutic Group Homes *APPROVED*
14 - 36 IFC-ID Public Facilities Reimbursement Rate Increase *APPROVED*
14 - 37 Behavioral Health Services - Inpatient Hospitals NR, NS Children's Speciality Hospitals Reimbursement *APPROVED*
14 - 38 ICF-ID Complex Care  *APPROVED*
14 - 39 Non-emergency Medical Transportation (NEMT) Services and Reimbursement  *APPROVED*
14 - 40 Applied Behavior Analysis Therapy Services  *APPROVED*
14 - 41 Nursing Facilities Reimbursement Methodology Supplemental Payments *DISAPPROVED*

 

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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