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Medicaid State Plan Amendments 2017
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.
17 - 0001 ICFs/IID - Evacuation and Temporary Sheltering Costs *APPROVED*
- Initial Submittal - June 30, 2017
- Public Notice - October 12, 2016
- Tribal Notice - October 7, 2016
- CMS Approval - September 15, 2017
17 - 0002 Nursing Facilities – Evacuation and Temporary Sheltering Costs *APPROVED*
- Initial Submittal - June 30, 2017
- Public Notice - October 12, 2016
- Tribal Notice - October 7, 2016
- CMS Approval - September 15, 2017
17 - 0003 Applied Behavioral Analysis Services - Reimbursement Rate Realignment *WITHDRAWN*
- Initial Submittal - February 10, 2017
- CMS Withdrawal Acknowledgement - March 1, 2017
17 - 0004 Inpatient Hospital Services, Non-Rural, Non-State Reimbursement Rate Increase *APPROVED*
- Initial Submittal - January 20, 2017
- CMS Approval - April 6, 2017
17 - 0005 Nursing Facility Reimbursement Methodology *APPROVED*
- Initial Submittal - March 31, 2017
- Standard Funding Responses - March 31, 2017
- Public Notice - December 20, 2016
- Tribal Notice - December 7, 2016
- CMS Approval - June 5, 2017
17 - 0006 Outpatient Hospital Services - Non-Rural, Non-State - Reimbursement Rate Increase (HCR 51) *APPROVED*
- Initial Submittal - January 20, 2017
- CMS Approval - April 12, 2017
17 - 0007 Recovery Audit Contract Program (Waiver Request) *APPROVED*
- Initial Submittal - August 23, 2017
- Public Notice - August 4, 2017
- Tribal Notice - December 14, 2016
- CMS Approval - November 2, 2017
17 - 0008 Pharmacy Management Program *APPROVED*
- Initial Submittal - June 29, 2017
- Standard Funding Questions - April 20, 2017
- Access to Care Responses - April 20, 2017
- Public Notice - January 20, 2017
- Tribal Notice - February 16, 2017
- CMS Approval - September 22, 2017
17 - 0009 Eligibility - Reinstate Louisiana Health Insurance premium Payment Program *APPROVED*
- Initial Submittal - June 8, 2017
- Standard Funding Questions - April 20, 2017
- Public Notice - January 20, 2017
- Tribal Notice - April 5, 2017
- CMS Approval - September 6, 2017
17 - 0010 Managed Care for Physical and Behavioral Health - Louisiana Health Insurance Premium Payment Program *APPROVED*
- Initial Submittal - June 16, 2017
- Standard Funding Questions - May 20, 2017
- Public Notice - February 20, 2017
- Tribal Notice - April 5, 2017
- CMS Approval - September 7, 2017
17 - 0011 Physician Services - Supplemental Payments Qualifying Criteria *APPROVED*
- Initial Submittal - March 3, 2017
- Public Notice - February 20, 2017
- Tribal Notice - February 16, 2017
- General Outpatient Funding Responses - September 11, 2017
- RAI Response - September 11, 2017
- Supporting Documentation
- CMS Approval - October 19, 2017
17 - 0012 Disproportionate Share Hospital Payments - Louisiana Low-Income Academic Hospitals - Payment Methodology *APPROVED*
- Initial Submittal - March 29, 2017
- Public Notice - February 20, 2017
- Tribal Notice - February 16, 2017
- CMS Approval - May 23, 2017
17 - 0013 Disproportionate Share Hospital Payments Federally Mandated Statutory Hospitals *APPROVED*
- Initial Submittal - March 29, 2017
- Standard Funding Questions with Attachments - March 1, 2017
- Louisiana AMRP, December 2016
- LA AMRP Addendum 2 (TN 17-0013) - March 31, 2017
- Public Notice - February 24, 2017
- Tribal Notice - March 15, 2017
- CMS Approval - May 31, 2017
17 - 0014 Inpatient Hospital Services - Graduate Medical Education - Supplemental Payments Pool Elimination *APPROVED*
- Initial Submittal - March 29, 2017
- Standard Funding Responses with Attachments - March 1, 2017
- Louisiana AMRP, December 2016
- LA AMRP Addendum 3 (TN 17-0014) - March 31, 2017
- Public Notice - February 24, 2017
- Tribal Notice - March 15, 2017
- CMS Approval - April 27, 2017
17 - 0015 Inpatient Hospital Services - High Medicaid Hospitals – Supplemental Payments Pool Reduction *APPROVED*
- Initial Submittal - March 29, 2017
- Standard Funding Responses with Attachments - March 1, 2017
- Louisiana AMRP, December 2016
- LA AMRP Addendum 4 (TN 17-0015) - March 31, 2017
- Public Notice - February 23, 2017
- Tribal Notice - March 15, 2017
- CMS Approval - May 16, 2017
17 - 0016 Applied Behavioral Analysis Services - Reimbursement Rate Realignment *APPROVED*
- Initial Submittal - March 31, 2017
- Standard Funding Questions - March 31, 2017
- LA AMRP Addendum 1 (TN 17-0016) - March 30, 2017
- Louisiana AMRP - December 2016
- Public Notice - December 20, 2016
- Tribal Notice - December 7, 2016
- CMS Approval - September 12, 2017
17 - 0017 Medicaid Eligibility – Former Foster Care Adolescents *APPROVED*
- Initial Submittal - May 31, 2017
- Public Notice - April 20, 2017
- Tribal Notice - May 1, 2017
- CMS Approval - July 6, 2017
17 - 0018 Professional Services Program Enhanced Federal Medical Assistance Percentage Rate for Preventive Services *APPROVED*
- Initial Submittal - June 8, 2017
- Standard Funding Questions - May 15, 2017
- Public Notice - May 20, 20167
- Tribal Notice - May 15, 2017
- CMS Approval - September 1, 2017
17 - 0019 Professional Services - Reimbursement Methodology - State Owned and Operated Professional Services Practices (LSU) *WITHDRAWN*
- Initial Submittal - May 31, 2017
- Public Notice - April 28, 2017
- Tribal Notice - May 24, 2017
- CMS Withdrawal Acknowledgement - July 27, 2017
17 - 0020 Nursing Facilities - Reimbursement Methodology – Rate Freeze *APPROVED*
- Initial Submittal - August 14, 2017
- Standard Funding Questions - July 1, 2017
- Public Notice - August 14, 2017
- Tribal Notice - July 7, 2017
- CMS Approval - October 4, 2017
17 - 0022 Inpatient Hospital Services - Office of Public Health - Newborn Screening Payments *APPROVED*
- Initial Submittal - September 28, 2017
- Public Notice - August 4, 2017
- Tribal Notice - August 4, 2017
- CMS Approval - October 13, 2017
17 - 0023 Inpatient Hospital Services - Non-Rural, Non-State Reimbursement Rate Increase *APPROVED*
- Initial Submittal - October 23, 2017
- Public Notice - September 20, 2017
- Tribal Notice - September 11, 2017
- Standard Funding Responses with Attachments:
- CMS Approval - November 8, 2017
17 - 0024 Outpatient Hospital Services - Non-Rural, Non-State Reimbursement Rate Increase *APPROVED*
- Initial Submittal - October 23, 2017
- Public Notice - September 20, 2017
- Tribal Notice - September 11, 2017
- CMS Approval - November 14, 2017
17 - 0025 Medicaid Eligibility – Express Lane Eligibility *APPROVED*
- Initial Submittal - December 6, 2017
- Public Notice - September 20, 2017
- Tribal Notice - September 11, 2017
- CMS Approval - February 27, 2017
17 - 0026 Proton Beam Radiation Therapy Termination *APPROVED*
- Initial Submittal - September 28, 2017
- Public Notice - September 26, 2017
- Tribal Notice - September 19, 2017
- CMS Approval - December 6, 2017
17 - 0027 ICF-IID - Public Facilities - Transitional Rate Extension *APPROVED*
- Initial Submittal - October 23, 2017
- Public Notice - October 20, 2017
- Tribal Notice - October 11, 2017
- CMS Approval - December 13, 2017
17 - 0028 ICF-ID - Reimbursement Methodology - Leave of Absence Days *APPROVED*
- Initial Submittal - November 6, 2017
- Public Notice - October 20, 2017
- Tribal Notice - October 10, 2017
- CMS Approval - December 8, 2017
17 - 0029 Managed Care for Physical and Behavioral Health – ABA-Based Therapy Services Integration *APPROVED*
- Initial Submittal - November 17, 2017
- Public Notice - October 20, 2017
- Tribal Notice - October 10, 2017
- CMS Approval - January 17, 2018
17 - 0030 Professional Services Program – State-Owned or Operated Professional Services Practices – Enhanced Reimbursement Rates *APPROVED*
- Initial Submittal - December 6, 2017
- Standard Funding Responses - Effective February 1, 2018
- Public Notice - October 20, 2017
- Tribal Notice - October 10, 2017
- CMS Approval - July 2, 2018
17 - 0031 Targeted Case Management - Reimbursement Methodology - EPSDT *APPROVED*
- Initial Submittal - December 6, 2017
- Public Notice - October 20, 2017
- Tribal Notice - October 10, 2017
- Approved - January 9, 2018
17 - 0038 State CHIP Termination of Coverage *PENDING*
- Initial Submittal - December 29, 2017
17 - 0039 Optional Targeted Low Income Children *WITHDRAWN*
- Initial Submittal - December 29, 2017
- Withdrawal Letter - January 19, 2018
- CMS Withdrawal Acknowledgement - January 31, 2018