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Medicaid State Plan Amendments 2016
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.
16 - 0001 DSH - Managed Care for Physical and Basic Behavioral Health Non-Emergency Medical Transportation *APPROVED*
- Initial Submittal - March 31, 2016
- CMS Approval - May 31, 2016
16 - 0002 CHIP Federally Facilitated Marketplace (FFM) Determinations *APPROVED*
- Initial Submittal - March 31, 2016
- CMS Approval - July 7, 2016 (see CHIP SPA Approval)
16 - 0003 Managed Care for Physical and Basic Behavioral Health - Expansion Under the Affordable Care Act *APPROVED*
- Initial Submittal - May 9, 2016
- CMS Approval - June 15, 2016
16 - 0004 Medicaid Expansion - Eligibility *APPROVED*
- Initial Submittal - March 31, 2016
- CMS Approval - April 21, 2016
16 - 0005 Medicaid Expansion - ABP *APPROVED*
- Initial Submittal - March 31, 2016
- CMS Approval - April 7, 2016
16 - 0006 Administrative Procedures - Tribal Consultation Process *APPROVED*
- Initial Submittal - March 19, 2016
- CMS Approval - August 8, 2016
16 - 0007 Asset Verification Program *APPROVED*
- Initial Submittal - June 24, 2016
- CMS Approval - October 31, 2016
16 - 0009 Medicaid Expansion FMAP State Plan Amendment *APPROVED*
- Initial Submittal - March 31, 2016
- CMS Approval - May 5, 2016
16 - 0010 Eligibility - FFM Determinations *APPROVED*
- Initial Submittal - April 21, 2016
- CMS Approval - July 6, 2016
16 - 0012 Supplemental Nutrition Assistance Program *APPROVED*
- Initial Submittal - May 4, 2016
- CMS Submittal - Facilitated Enrollment State Plan Pages (Final) - May 20, 2016
- CMS Approval - May 27, 2016
16 - 0013 Personal Care Services - Long Term - Louisiana Personal Options Program (LaPOP) Termination *APPROVED*
- Initial Submittal - June 7, 2016
- RAI Response - November 21, 2016
- CMS Approval - January 10, 2017
16 - 0014 Disproportionate Share Hospital Payments - Louisiana Low-Income Academic Hospitals *APPROVED*
- Initial Submittal - September 27, 2016
- CMS Approval - November 30, 2016
16 - 0015 FQHC - Fluoride Applications-Delegated Appliers *APPROVED*
- Initial Submittal - September 13, 2016
- CMS Approval - December 1, 2016
16 - 0016 Professional Services - Fluoride Applications-Delegated Appliers *APPROVED*
- Initial Submittal - September 13, 2016
- CMS Approval - September 20, 2016
16 - 0017 RHC - Fluoride Applications-Delegated Appliers *APPROVED*
- Initial Submittal - September 13, 2016
- CMS Approval - December 7, 2016
16 - 0018 Disproportionate Share Hospital Payments - Major Medical Centers (Central and Northern Areas of the State) *APPROVED*
- Initial Submittal - June 30, 2016
- RAI Response - September 19, 2016
- CMS Approval - November 16, 2016
16 - 0019 Medical Transportation - Emergency Ambulance Services - Enhanced Reimbursements (UPL) *APPROVED*
- Initial Submittal - September 27, 2016
- RAI - December 19, 2016
- RAI Response - July 17, 2017
- Supporting Documentation
- CMS Approval - September 15, 2017
16 - 0020 Pediatric Day Health Care Program *APPROVED*
- Initial Submittal - September 30, 2016
- CMS Approval - December 1, 2016
16 - 0021 Nursing Facilities Reimbursement Method - Pass Through Fee Increase *APPROVED*
- Initial Submittal - September 27, 2016
- CMS Approval - November 4, 2016
16 - 0022 ICF-ID Supplemental Payments (UPL) *WITHDRAWN*
- Initial Submittal - September 27, 2016
- RAI - December 1, 2016
- Withdrawal Letter - October 30, 2017
- Withdrawal Acknowledgement - October 31, 2017