Amendments | |||||
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Medicaid State Plan Amendments 2023
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.
23-0001 HCBS Spending Plan - PCS and TCM *APPROVED*
- Initial Submittal - January 6, 2023
- Tribal Notice - December 16, 2022
- Public Notice - December 20, 2022
- Redlined State Plan Pages - January 6, 2023
- Response to Standard Funding Questions – December 28, 2022
- RAI - April 5, 2023
- RAI Response - June 21, 2023
- CMS Approval - July 14, 2023
23-0002 Medicaid Eligibility - Resource Methodology *APPROVED*
- Initial Submittal - March 30, 2023
- Tribal Notice - December 22, 2022
- Public Notice - January 20, 2023
- CMS Approval - June 27, 2023
23-0003 LA Medicaid Disaster Relief SPA Home Health *WITHDRAWN*
- Initial Submittal – March 30, 2023
- Tribal Notice – January 11, 2023
- Redlined State Plan Pages – March 30, 2023
- Response to Standard Funding Questions – February 7, 2023
- RAI Request – June 21, 2023
- Withdrawal Letter - January 19, 2024
23-0004 Medicaid Eligibility Former Foster Care Children *APPROVED*
- Initial Submittal - March 31, 2023
- Tribal Notice - February 28, 2023
- CMS Approval - June 9, 2023
23-0005 Federally Qualified Health Centers (FQHC) Alternative Payment Methodology *APPROVED*
- Initial Submittal - June 21, 2023
- Tribal Notice - April 26, 2023
- Public Notice - February 20, 2023
- Redlined State Plan Pages - June 21, 2023
- Response to Standard Funding Questions - June 21, 2023
- CMS Approval - July 19, 2023
23-0006 Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) – Dental Services *APPROVED*
- Initial Submittal - April 19, 2023
- Tribal Notice - January 31, 2023
- Public Notice - January 20, 2023
- Redlined State Plan Pages - April 19, 2023
- Response to Standard Funding Questions - April 19, 2023
- CMS Approval - July 14, 2023
23-0007 Inpatient Hospital Services *APPROVED*
- Initial Submittal – July 7, 2023
- Tribal Notice – January 31, 2023
- Public Notice – January 20, 2023
- Redlined State Plan Page(s) - July 7, 2023
- CMS Approval - September 18, 2023
23-0008 Home Health Program-Authorizing Authority *APPROVED*
- Initial Submittal - May 11, 2023
- Tribal Notice - February 28, 2023
- Public Notice - February 20, 2023
- Redlined State Plan Pages - May 11, 2023
- CMS Approval - June 8, 2023
23-0009 Personal Care Services-Long Term Care (Eligibility Assessments) *APPROVED*
- Initial Submittal - June 7, 2023
- Tribal Notice - February 28, 2023
- Redlined State Plan Pages - June 7, 2023
- CMS Approval - August 11, 2023
23-0010 EPSDT Dental Reimbursement Methodology *APPROVED*
- Initial Submittal - March 17, 2023
- Tribal Notice - March 10, 2023
- Public Notice - March 13, 2023
- Redlined State Plan Pages - March 17, 2023
- Response to Standard Funding Questions – March 17, 2023
- CMS Approval - June 9, 2023
23-0011 EPSDT Adult Dentures Reimbursement Methodology *APPROVED*
- Initial Submittal - March 17, 2023
- Tribal Notice - March 10, 2023
- Public Notice - March 13, 2023
- Redlined State Plan Pages - March 17, 2023
- Response to Standard Funding Questions – March 17, 2023
- CMS Approval - June 9, 2023
23-0012 Behavioral Health Services *APPROVED*
- Initial Submittal - April 19, 2023
- Tribal Notice - March 1, 2023
- Redlined State Plan Pages - April 19, 2023
- CMS Approval - May 22, 2023
23-0013 Tobacco Cessation Counseling Services *APPROVED*
- Initial Submittal - June 26, 2023
- Tribal Notice - March 28, 2023
- Public Notice - March 20, 2023
- Redlined State Plan Pages - July 18, 2023
- Response to Standard Funding Questions – June 26, 2023
- CMS Approval - September 11, 2023
23-0014 EPSDT American Rescue Plan Act COVID-19 Vaccines and Treatment *APPROVED*
- Initial Submittal - April 5, 2023
- Tribal Notice - April 4, 2023
- Redlined State Plan Pages - April 5, 2023
- Response to Standard Funding Questions – April 5, 2023
- RAI – June 21, 2023
- RAI Response - December 29, 2023
- CMS Approval - February 16, 2024
23-0015 LA Medicaid Disaster Relief SPA Signature Waiver (Pharmacy) *APPROVED*
- Initial Submittal - April 6, 2023
- Tribal Notice - April 5, 2023
- Redlined State Plan Pages - April 6, 2023
- CMS Approval - April 26, 2023
23-0017 Disaster Relief Extension SPA (TCM) *APPROVED*
- Initial Submittal - May 10, 2023
- Tribal Notice - May 3, 2023
- Redlined State Plan Pages - May 10, 2023
- CMS Approval - June 2, 2023
23-0018 Disaster Relief Extension (Long Term - Personal Care Services) *APPROVED*
- Initial Submittal - April 27, 2023
- Tribal Notice - April 11, 2023
- Redlined State Plan Pages - April 27, 2023
- CMS Approval - June 30, 2023
23-0019 Long Term-Personal Care Services Disaster Relief Extension *APPROVED*
- Initial Submittal - April 27, 2023
- Tribal Notice - April 11, 2023
- Redlined State Plan Pages - April 27, 2023
- CMS Approval - June 2, 2023
23-0020 Medical Transportation Program *APPROVED*
- Initial Submittal - May 10, 2023
- Tribal Notice - May 2, 2023
- Public Notice - May 2, 2023
- Redlined State Plan Pages - May 10, 2023
- Response to Medicaid Funding Questions - May 11, 2023
- RAI Request - August 2, 2023
- RAI Response Packet - September 21, 2023
- RAI Response Letter of Withdrawal - October 10, 2023
- RAI Response Packet 2 - December 29, 2023
- CMS Approval - March 12, 2024
23-0021 ICF-IID Reimbursement Methodology *APPROVED*
- Initial Submittal - June 26, 2023
- Tribal Notice - May 3, 2023
- Public Notice - May 3, 2023
- Redlined State Plan Pages - June 26, 2023
- Response to Medicaid Funding Questions - May 11, 2023
- CMS Approval - July 14, 2023
23-0022 Preventive Services Program *WITHDRAWN*
- Initial Submittal - May 19, 2023
- Tribal Notice - May 3, 2023
- Public Notice - May 3, 2023
- Redlined State Plan Pages - May 19, 2023
- Letter of Withdrawal - March 6, 2024
23-0023 Disaster Relief Extension SPA (Long Term-Personal Care Services) *APPROVED*
- Initial Submittal - May 23, 2023
- Tribal Notice - August 2, 2022
- Public Notice - May 9, 2023
- Redlined State Plan Pages - May 23, 2023
- Response to Medicaid Funding Questions - May 23, 2023
- CMS Approval - June 30, 2023
23-0024 Pharmacy Benefits Management Program - Professional Dispensing Fee *APPROVED*
- Initial Submittal - September 13, 2023
- Tribal Notice - May 19, 2023
- Public Notice - May 31, 2023
- Redlined State Plan Pages - September 13, 2023
- Response to Medicaid Funding Questions - September 13, 2023
- CMS Approval - December 7, 2023
23-0025 Pharmacy Benefits Management Program - Clotting Factor *APPROVED*
- Initial Submittal - September 13, 2023
- Tribal Notice - May 19, 2023
- Public Notice - May 20, 2023
- Redlined State Plan Pages - September 13, 2023
- Response to Medicaid Funding Questions - September 13, 2023
- CMS Approval - December 7, 2023
23-0026 Recovery Audit Contractor Program *APPROVED*
- Initial Submittal - July 7, 2023
- Tribal Notice - May 19, 2023
- Redlined State Plan Pages - July 7, 2023
- CMS Approval - August 31, 2023
23-0028 Medicaid Eligibility Disregard of Accumulated Resources *APPROVED*
- Initial Submittal - September 28, 2023
- Tribal Notice - April 26, 2023
- Public Notice - April 20, 2023
- CMS Approval - December 13, 2023
23-0029 Home Health Program Reimbursement Rate Increase *APPROVED*
- Initial Submittal - June 29, 2023
- Tribal Notice - May 19, 2023
- Public Notice - April 13, 2023
- Redlined State Plan Pages - June 30, 2023
- Response to Medicaid Funding Questions - June 9, 2023
- CMS Approval - August 3, 2023
23-0030 Disaster Relief Extension (Treatment in Place) *APPROVED*
- Initial Submittal - June 27, 2023
- Tribal Notice - May 3, 2023
- Public Notice - May 3, 2023
- Redlined State Plan Pages - June 27, 2023
- Response to Medicaid Funding Questions - June 27, 2023
- CMS Approval - July 28, 2023
23-0031 Inpatient Hospital Services (Out of State Hospitals) *APPROVED*
- Initial Submittal - September 15, 2023
- Tribal Notice - June 20, 2023
- Public Notice - June 20, 2023
- Redlined State Plan Pages - September 15, 2023
- Response to Medicaid Funding Questions - September 15, 2023
- CMS Approval - October 24, 2023
23-0032 Rural Health Clinics Reimbursement Methodology *APPROVED*
- Initial Submittal - August 1, 2023
- Tribal Notice - June 30, 2023
- Public Notice - June 26, 2023
- Redlined State Plan Pages - August 1, 2023
- Response to Medicaid Funding Questions - July 5, 2023
- CMS Approval - August 22, 2023
23-0033 Outpatient Hospital Services - Public Non-State Small Rural Hospitals *APPROVED*
- Initial Submittal - August 15, 2023
- Tribal Notice - June 30, 2023
- Public Notice - June 26, 2023
- Redlined State Plan Pages - August 15, 2023
- Response to Standard Funding Questions - August 4, 2023
- RAI Request - November 8, 2023
- RAI Response - December 8, 2023
- CMS Approval - February 27, 2024
- Companion Letter - February 27, 2024
23-0034 Inpatient Hospital Services – Well Baby and Transplant Payments *APPROVED*
- Initial Submittal - December 15, 2023
- Tribal Notice - November 17, 2023
- Public Notice - May 20, 2023
- Redlined State Plan Pages - December 15, 2023
- Response to Standard Funding Questions - December 15, 2023
- CMS Approval - January 24, 2024
23-0035 Pharmacy Benefits Management – Over The Counter Drugs *APPROVED*
- Initial Submittal - October 24, 2023
- Tribal Notice - September 21, 2023
- Public Notice - September 20, 2023
- Redlined State Plan Pages - October 24, 2023
- CMS Approval - January 11, 2024
23-0036 Disproportionate Share Hospital Payments *APPROVED*
- Initial Submittal - October 3, 2023
- Tribal Notice - August 22, 2023
- Public Notice - August 20, 2023
- Redlined State Plan Pages - October 3, 2023
- Response to Standard Funding Questions - October 3, 2023
- CMS Approval - December 13, 2023
23-0037 Midwife Services Reimbursement Methodology *APPROVED*
- Initial Submittal - September 20, 2023
- Tribal Notice - July 27, 2023
- Public Notice - August 20, 2023
- Redlined State Plan Pages - September 20, 2023
- Approval - December 7, 2023
23-0038 Targeted Case Management Virtual Visits *APPROVED*
- Initial Submittal - September 15, 2023
- Tribal Notice - August 17, 2023
- Redlined State Plan Pages - September 15, 2023
- CMS Approval - October 23, 2023
23-0040 Targeted Case Management - Clarification *APPROVED*
- Initial Submittal - December 28, 2023
- Tribal Notice - September 21, 2023
- Public Notice - September 20, 2023
- Redlined State Plan Pages - December 28, 2023
- CMS Approval - February 27, 2024
23-0041 Nursing Facilities – Optional State Assessment *APPROVED*
- Initial Submittal - October 12, 2023
- Tribal Notice - September 29, 2023
- Public Notice - September 29, 2023
- Redlined State Plan Pages - October 12, 2023
- Response to Standard Funding Questions - September 15, 2023
- CMS Approval - December 18, 2023
23-0042 CHIP-Vaccine and Administration Coverage *APPROVED*
- Initial Submittal - December 28, 2023
- Tribal Notice - November 7, 2023
- Redlined State Plan Pages - December 28, 2023
- CMS Approval - January 10, 2024
23-0043 Medicaid – Vaccine and Administration Coverage *APPROVED*
- Initial Submittal - December 28, 2023
- Tribal Notice - November 7, 2023
- Redlined State Plan Pages - December 28, 2023
- CMS Approval - March 4, 2024
23-0044 OBH Mobile Crisis Services *APPROVED*
- Initial Submittal - December 28, 2023
- Tribal Notice - December 8, 2023
- Redlined State Plan Pages - December 28, 2023
- CMS Approval - March 5, 2024