State Plan Amendments 2015

Medicaid State Plan Amendments Policy Home

 

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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.

15 - 0001  DSH - Federally Mandated Statutory Hospitals (Pool reduced to 1M)  *APPROVED*

15 - 0003  Long Term Personal Care Services - Re-assessment Period  *APPROVED*

15 - 0004  Inpatient Hospital Services - Children's Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals  *WITHDRAWN*

15 - 0005  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Baton Rouge Area Hospitals  *WITHDRAWN*

15 - 0006  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals  *WITHDRAWN*

15 - 0007  Outpatient Hospital Services - Children's Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals  *WITHDRAWN*

15 - 0008  Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Baton Rouge Area Hospitals  *WITHDRAWN*

15 - 0009  Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals  *WITHDRAWN*

15 - 0010  Managed Care for Physical & Basic Behavioral Health  *APPROVED*

15 - 0012  DSH Mental Health Emergency Room Extensions (MHEREs) Pool Elimination  *APPROVED*

15 - 0013  Inpatient Hospitals - Non-Rural, Non-State Termination of Additional Payments for Hemophilia Blood Products  *APPROVED*

15 - 0014  Long-Term Personal Care Services - Electronic Visit Verification (EVV)  *WITHDRAWN*

15 - 0015  Professional Services Program - Physician Services - Reimbursement Rate Adjustment - 17 Hydroxyprogesterone (17P)  *APPROVED*

15 - 0016  Federally Facilitated Marketplace Assessments  *APPROVED*

15 - 0017  1915(i) Behavioral Health Services Termination *APPROVED*

15 - 0018  Targeted Case Management - Foster Care and Family Support Worker Services   *WITHDRAWN*

15 - 0019  Early and Periodic Screening, Diagnostic and Treatment (EPSDT) School Based Nursing (Remove Individualized Education Program (IEP) Requirement)   *APPROVED*

15 - 0020  Medicaid Eligibility-Louisiana Health Insurance Premium Payment (LaHIPP) Program *APPROVED*

15 - 0021  Managed Care Organization-Louisiana Behavioral Health Partnership (LBHP) Intergration  *APPROVED*

15 - 0022  Inpatient Hospitals - Reinstate Payments for Hemohilia Blood Products  *APPROVED*

15 - 0023  Nursing Facilities-Reimbursement Methodology (State Fiscal Year 2016 Rate Freeze) *APPROVED*

15 - 0024  School-Based Behavioral Health Services - Louisiana Behavioral Health Partnership Inegration *APPROVED*

15 - 0025  Intermediate Care Facilities for Persons with Intellectual Disabilities-Supplemental Payments *WITHDRAWN*

15 - 0026  Children's Behavioral Health Services - Louisiana Behavioral Health Partnership Integration *APPROVED*

15 - 0027  Therapeutic Group Homes - Louisiana Behavioral Health Program Integration *APPROVED*

15 - 0028  Psychiatric Residential Treatment Facilities - Louisiana Behavioral Health Partnership Integration  *APPROVED*

15 - 0029  Substance Use Disorder Services - Louisiana Behavioral Health Partnership Integration  *APPROVED*

15 - 0030 Adult Mental Health Services - Covered Services and Recipient Qualifications  *APPROVED*

15 - 0031   Disproportionate Share Hospitals - Inpatient Psychiatric Services Rate Reduction *APPROVED*

15 - 0032   Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Public Hospitals Supplemental Payments *APPROVED*

15 - 0033  Nursing Facilities - Non-State Government Organizations Supplemental Payments  *APPROVED*

15 - 0034  Federally Qualified Health Centers - Service Limits  *APPROVED*

15 - 0035  Louisiana Outpatient Hospital Services - Outpatient Physician Visits Service Limits  *APPROVED*

15 - 0036  Louisiana Professional Service - Physician Visits-Service Limits  *APPROVED*

15 - 0037  Louisiana Rural Health Clinics Service Limits  *APPROVED*

15 - 0038 Free-Standing Birthing Centers  *APPROVED*