Medicaid State Plan Amendments 2019

 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.

19 - 0001  Children’s Behavioral Health Services  *APPROVED*
19 - 0002  Behavioral Health Services-Substance Use Disorders Services   *WITHDRAWN*
19 - 0003  Federally Qualified Health Centers - Alternative Payment Methodology (same day payments)  *APPROVED*
19 - 0004  Rural Health Clinics - Alternative Payment Methodology (same day payments)  *APPROVED*
19 - 0005  Early and Periodic Screening, Diagnosis and Treatment Program School-Based Health Services *APPROVED*
19 - 0006  Pharmacy Benefits Management Program - Single Preferred Drug List  *APPROVED*
19 - 0007  Pharmacy Benefits Management Program - Pharmacy Ingredient Cost Reimbursement  *APPROVED*
19 - 0008  Pharmacy Benefits Management Program - Professional Dispensing Fee   *APPROVED*
19 - 0009  Medicaid Eligibility - Children's Health Insurance Program Reauthorization Act Option for Lawfully Resident Children Under the Age of 19   *APPROVED*
19 - 0010  Medicaid Eligibility - Children's Health Insurance Program Reauthorization Act Option for Lawfully Resident Children  *APPROVED*
19 - 0011  Hospice Care Services   *APPROVED*
19 - 0012  Newborn Screenings  *WITHDRAWN*
19 - 0014  Recovery Audit Contractor *APPROVED*
19 - 0015  Nursing Facilities Reimbursement Methodology  Recovery Audit Contractor *APPROVED*
19 - 0016  LaHIPP Cost Effectiveness Formula Recovery Audit Contractor *APPROVED*
19 - 0017  LA SPA TN 19-0017 Pharmacy Benefits Management Program – Supplemental Rebate Agreement  Recovery Audit Contractor *APPROVED*
19 - 0018  Pharmacy Benefits Management Program – Supplemental Rebate Agreement Program *APPROVED*
19 - 0019  Radiology Utilization Management Services *APPROVED*
19 - 0020  Ground Ambulance Services and Enhanced Reimbursements *APPROVED*
19 - 0021  Inpatient Hospital Services Reimbursement Outlier Pool Rate Increase *APPROVED*
19 - 0023  Medicaid Eligibility - Medicaid Savings Programs *APPROVED*
19 - 0024  Managed Care Organizations Enrollment Choice Period *APPROVED*
19 - 0025  Inpatient Hospital Services Reimbursement Rate Adjustment *APPROVED*
19 - 0026  Outpatient Hospital Services Reimbursement Rate Adjustment *APPROVED*
19 - 0027  Disproportionate Share Hospital Payments - Major Medical Centers *APPROVED*
19 - 0028  Pharmacy Benefits Management Program – Drug Utilization Review Program *APPROVED*
19 - 0029 Pharmacy Benefits Management Program - Dispense as Written and Outcomes-based Agreements   *APPROVED*
19 - 0030  Behavioral Health Services - Treatment for Opioid Use Disorder in Opioid Treatment Programs *APPROVED*
19 - 0031  Intermediate Care Facilities for Persons with Intellectual Disabilities (ICF-IID) Dedicated Program Funding Pool Payments *APPROVED*
19 - 0032 Extended Services for Pregnant Women - Substance Use Screening and Intervention - Tobacco Cessation   *APPROVED*

Surgeon General Ralph L. Abraham, M.D.

Secretary Bruce D. Greenstein

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