State Plan Amendments 2018

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 (SPAs) 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 7/1/13 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 7/1/13 can be found within the main text of the comprehensive State Plan.

 

18 - 0001 Family Planning Services  *APPROVED*

18 - 0002 Inpatient Hospital Services Pre-Admission Certification *APPROVED*

18 - 0003 Home Health - Encounters and Services *APPROVED*

18 - 0004 Pharmacy Benefits Management Program - Physician-Administered Drugs Reimbursement Methodology *APPROVED*

18 - 0005 Adult Behavioral Health Services  *APPROVED*

18 - 0006 Federally Qualified Health Centers Reimbursement Methodology- Cost Reporting *APPROVED*

18 - 0007 Managed Care for Physical and Behavioral Health Applied Behavior Analysis-Based Therapy Services *APPROVED*

18 - 0009 Disproportionate Share Hospital Payments Major Medical Centers Specialized Burn Care Units *APPROVED*

18 - 0010 Transition of Private Facilities to State-Owned or Operated Facilities Through a Change of Ownership *APPROVED*

18 - 0011 Intermediate Care Facilities for Individuals with Intellectual Disabilities - Cost Reports and Complex Care Reimbursement *APPROVED*

18 - 0012 Managed Care for Physical and Behavioral Health – Skilled Nursing Facility Services  *APPROVED*

18 - 0013 Federally Qualified Health Centers – Reimbursement Methodology – Long-Acting Reversible Contraceptives  *APPROVED*

18 - 0014 Rural Health Clinics – Reimbursement Methodology – Long-Acting Reversible Contraceptives *APPROVED*

18 - 0015 Managed Care for Physical and Behavioral Health – Medicaid Cost Sharing for Prescription Drugs *APPROVED*

18 - 0016 Pharmacy Benefits Management Program - Managed Care Supplemental Rebates *WITHDRAWN*

18 - 0018 Intermediate Care Facilities for Individuals with Intellectual Disabilities - Public Facilities - Transitional Rate Extension *APPROVED*

18 - 0019 Federally Qualified Health Centers Mammography Separate Payments *DISAPPROVED*

18 - 0020 Rural Health Clinics Mammography Separate Payments *DISAPPROVED*

18 - 0021 Outpatient Hospital Services – Non-Rural, Non-State Hospitals and Children’s Specialty Hospitals – Reimbursement Rate Increase *APPROVED*

18 - 0024 Behavioral Health Services - Substance Use Disorders Services *APPROVED*

18 - 0025 Children's Behavioral Health Services  *APPROVED*

18 - 0026 Therapeutic Group Homes *APPROVED*

18 - 0027 LaMEDS Electronic Application *APPROVED*