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*
17 - 0002 Nursing Facilities – Evacuation and Temporary Sheltering Costs *APPROVED*
17 - 0003 Applied Behavioral Analysis Services - Reimbursement Rate Realignment *WITHDRAWN*
17 - 0004 Inpatient Hospital Services, Non-Rural, Non-State Reimbursement Rate Increase *APPROVED*
17 - 0005 Nursing Facility Reimbursement Methodology  *APPROVED*
17 - 0006 Outpatient Hospital Services - Non-Rural, Non-State - Reimbursement Rate Increase (HCR 51)  *APPROVED*
17 - 0007 Recovery Audit Contract Program (Waiver Request) *APPROVED*
17 - 0008 Pharmacy Management Program  *APPROVED*
17 - 0009 Eligibility - Reinstate Louisiana Health Insurance premium Payment Program  *APPROVED*
17 - 0010 Managed Care for Physical and Behavioral Health - Louisiana Health Insurance Premium Payment Program  *APPROVED*
17 - 0011 Physician Services - Supplemental Payments Qualifying Criteria  *APPROVED*
17 - 0012 Disproportionate Share Hospital Payments - Louisiana Low-Income Academic Hospitals - Payment Methodology  *APPROVED*
17 - 0013 Disproportionate Share Hospital Payments Federally Mandated Statutory Hospitals *APPROVED*
17 - 0014 Inpatient Hospital Services - Graduate Medical Education - Supplemental Payments Pool Elimination  *APPROVED*

17 - 0015 Inpatient Hospital Services - High Medicaid Hospitals – Supplemental Payments Pool Reduction  *APPROVED*

17 - 0016 Applied Behavioral Analysis Services - Reimbursement Rate Realignment  *APPROVED*
17 - 0017 Medicaid Eligibility – Former Foster Care Adolescents *APPROVED*

17 - 0018 Professional Services Program Enhanced Federal Medical Assistance Percentage Rate for Preventive Services  *APPROVED*

17 - 0019 Professional Services - Reimbursement Methodology - State Owned and Operated Professional Services Practices (LSU)  *WITHDRAWN*

17 - 0020 Nursing Facilities - Reimbursement Methodology – Rate Freeze  *APPROVED*

17 - 0022  Inpatient Hospital Services - Office of Public Health - Newborn Screening Payments *APPROVED*
17 - 0023  Inpatient Hospital Services - Non-Rural, Non-State Reimbursement Rate Increase *APPROVED*
17 - 0024  Outpatient Hospital Services - Non-Rural, Non-State Reimbursement Rate Increase *APPROVED*
17 - 0025 Medicaid Eligibility – Express Lane Eligibility *APPROVED*
17 - 0026 Proton Beam Radiation Therapy Termination *APPROVED*
17 - 0027 ICF-IID - Public Facilities - Transitional Rate Extension *APPROVED*
17 - 0028 ICF-ID - Reimbursement Methodology - Leave of Absence Days *APPROVED*
17 - 0029 Managed Care for Physical and Behavioral Health – ABA-Based Therapy Services Integration *APPROVED*
17 - 0030 Professional Services Program – State-Owned or Operated Professional Services Practices – Enhanced Reimbursement Rates *APPROVED*
17 - 0031 Targeted Case Management - Reimbursement Methodology - EPSDT  *APPROVED*
17 - 0038 State CHIP Termination of Coverage  *PENDING*
17 - 0039 Optional Targeted Low Income Children *WITHDRAWN*

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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