Medicaid State Plan Amendments 2015

Amendments
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 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.

15 - 0001  DSH - Federally Mandated Statutory Hospitals (Pool reduced to 1M)  *APPROVED*

• Initial Submittal - February 20, 2015
• CMS Approval - January 10, 2015

15 - 0003  Long Term Personal Care Services - Re-assessment Period  *APPROVED*

• Initial Submittal - February 20, 2015
• CMS Approval - March 11, 2015

15 - 0004  Inpatient Hospital Services - Children's Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals  *WITHDRAWN*

• Initial Submittal - March 19, 2015
• RAI - June 1, 2015
• RAI Response - July 6, 2015
• RAI Response Withdrawal - August 5, 2015
• Withdrawal Letter - October 13, 2017
• CMS Acknowledgment - October 13, 2017

15 - 0005  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Baton Rouge Area Hospitals  *WITHDRAWN*

• Initial Submittal - March 19, 2015
• RAI - June 1, 2015
• RAI Response - June 11, 2015
• RAI Response Withdrawal - August 5, 2015
• Withdrawal Letter - October 13, 2017
• CMS Acknowledgment - October 13, 2017

15 - 0006  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals  *WITHDRAWN*

• Initial Submittal - March 19, 2015
• RAI - June 1, 2015
• Withdrawal Letter - October 13, 2017
• CMS Acknowledgment - October 13, 2017

15 - 0007  Outpatient Hospital Services - Children's Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals  *WITHDRAWN*

• Initial Submittal - March 19, 2015
• RAI - June 9, 2015
• Withdrawal Letter - October 13, 2017
• CMS Acknowledgment - October 13, 2017

15 - 0008  Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Baton Rouge Area Hospitals  *WITHDRAWN*

• Initial Submittal - March 19, 2015
• RAI - June 10, 2015
• RAI Response - July 8, 2015
• RAI Response Withdrawal - September 2, 2015
• Withdrawal Letter - October 13, 2017
• CMS Acknowledgment - October 13, 2017

15 - 0009  Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals  *WITHDRAWN*

• Initial Submittal - March 19, 2015
• RAI - June 10, 2015
• Withdrawal Letter - October 13, 2017
• CMS Acknowledgment - October 13, 2017

15 - 0010  Managed Care for Physical & Basic Behavioral Health  *APPROVED*

• Initial Submittal - March 31, 2015
• CMS Approval - June 12, 2015

15 - 0012  DSH Mental Health Emergency Room Extensions (MHEREs) Pool Elimination  *APPROVED*

• Initial Submittal - March 24, 2015
• CMS Approval - April 15, 2015

15 - 0013  Inpatient Hospitals - Non-Rural, Non-State Termination of Additional Payments for Hemophilia Blood Products  *APPROVED*

• Initial Submittal - March 30, 2015
• CMS Approval - May 4, 2015

 15 - 0014  Long-Term Personal Care Services - Electronic Visit Verification (EVV)  *WITHDRAWN*

• Initial Submittal - April 14, 2015
• Withdrawal Letter - May 19, 2015
• CMS Acknowledgement - May 20, 2015

15 - 0015  Professional Services Program - Physician Services - Reimbursement Rate Adjustment - 17 Hydroxyprogesterone (17P)  *APPROVED*

• Initial Submittal - April 15, 2015
• CMS Approval - June 30, 2015

15 - 0016  Federally Facilitated Marketplace Assessments  *APPROVED*

• Initial Submittal - July 15, 2015
• CMS Approval - October 8, 2015

15 - 0017  1915(i) Behavioral Health Services Termination *APPROVED*

• Transition Plan - October 27, 2015
• Initial Submittal - December 21, 2015
• CMS Approval - May 23, 2016

15 - 0018  Targeted Case Management - Foster Care and Family Support Worker Services   *WITHDRAWN*

• Initial Submittal - June 29, 2015
• RAI - September 16, 2015
• RAI Response - October 28, 2015
• RAI Response Withdrawal - December 9, 2015
• RAI Response - February 17, 2016
• RAI Response Withdrawal - March 30, 2016
• CMS Withdrawal - June 14-2016
• CMS Withdrawal Acknowledgement - June 17, 2016

15 - 0019  Early and Periodic Screening, Diagnostic and Treatment (EPSDT) School Based Nursing (Remove Individualized Education Program (IEP) Requirement)   *APPROVED*

• Initial Submittal - July 17, 2015
• CMS Approval - October 8, 2015

15 - 0020  Medicaid Eligibility-Louisiana Health Insurance Premium Payment (LaHIPP) Program *APPROVED*

• Initial Submittal - September 16, 2015
• CMS Approval - November 5, 2015

15 - 0021  Managed Care Organization-Louisiana Behavioral Health Partnership (LBHP) Integration  *APPROVED*

• Initial Submittal - July 2, 2015
• CMS Approval - September 21, 2015

15 - 0022  Inpatient Hospitals - Reinstate Payments for Hemophilia Blood Products  *APPROVED*

• Initial Submittal - August 5, 2015
• CMS Approval - October 14, 2015

15 - 0023  Nursing Facilities-Reimbursement Methodology (State Fiscal Year 2016 Rate Freeze) *APPROVED*

• Initial Submittal - September 16, 2015
• RAI - November 30, 2015
• RAI Response - February 17, 2016
• CMS Approval - March 7, 2016

15 - 0024  School-Based Behavioral Health Services - Louisiana Behavioral Health Partnership Inegration *APPROVED*

• Initial Submittal - October 21, 2015
• CMS Approval - January 5, 2016

15 - 0025  Intermediate Care Facilities for Persons with Intellectual Disabilities-Supplemental Payments *WITHDRAWN*

• Initial Submittal - September 28, 2015
• RAI - December 1, 2015
• SPA Withdrawal - September 19, 2016
• Final Withdrawal SPA Packet from CMS - April 27, 2017

15 - 0026  Children's Behavioral Health Services - Louisiana Behavioral Health Partnership Integration *APPROVED*

• Initial Submittal - November 10, 2015
• RAI - February 3, 2016
• RAI Response - February 17, 2016
• RAI Response Withdrawal - March 28, 2016
• RAI Response - April 20, 2016
• CMS Approval - June 2, 2016

15 - 0027  Therapeutic Group Homes - Louisiana Behavioral Health Program Integration *APPROVED*

• Initial Submittal - October 21, 2015
• CMS Approval - January 6, 2016

15 - 0028  Psychiatric Residential Treatment Facilities - Louisiana Behavioral Health Partnership Integration  *APPROVED*

• Initial Submittal - September 29, 2015
• RAI - December 2, 2015
• RAI Response - May 20, 2016
• RAI Response - March 28, 2018
• CMS Approval - June 4, 2018

15 - 0029  Substance Use Disorder Services - Louisiana Behavioral Health Partnership Integration  *APPROVED*

• Initial Submittal - November 10, 2015
• RAI - February 3, 2016
• RAI Response - May 9, 2016
• CMS Approval - June 7, 2016

15 - 0030 Adult Mental Health Services - Covered Services and Recipient Qualifications  *APPROVED*

• Initial Submittal - December 21, 2015
• RAI Response - April 20, 2016
• CMS Approval - May 9, 2016

15 - 0031   Disproportionate Share Hospitals - Inpatient Psychiatric Services Rate Reduction *APPROVED*

• Initial Submittal - November 10, 2015
• RAI - January 28, 2016
• RAI Response - March 4, 2016
• CMS Approval - April 15, 2016

15 - 0032   Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Public Hospitals Supplemental Payments *APPROVED*

• Initial Submittal - November 18, 2015
• RAI - February 3, 2016
• RAI Response - May 23, 2016
• CMS Approval - June 1, 2016

15 - 0033  Nursing Facilities - Non-State Government Organizations Supplemental Payments  *APPROVED*

• Initial Submittal - November 9, 2015
• RAI Response - February 17, 2016
• CMS Approval - April 11, 2016

15 - 0034  Federally Qualified Health Centers - Service Limits  *APPROVED*

• Initial Submittal - November 18, 2015
• CMS Approval - December 14, 2015

15 - 0035  Louisiana Outpatient Hospital Services - Outpatient Physician Visits Service Limits  *APPROVED*

• Initial Submittal - November 18, 2015
• CMS Approval - January 11, 2016

15 - 0036  Louisiana Professional Service - Physician Visits-Service Limits  *APPROVED*

• Initial Submittal - November 18, 2015
• CMS Approval - December 2, 2015

15 - 0037  Louisiana Rural Health Clinics Service Limits  *APPROVED*

• Initial Submittal - November 18, 2015
• CMS Approval - February 11, 2016

15 - 0038 Free-Standing Birthing Centers  *APPROVED*

• Initial Submittal - December 29, 2015
• CMS Approval - February 18, 2016