State Plan Amendments

COVID-19 Update: Changes to Medicaid policy and procedure deemed of an imminent peril to the public health, safety, or welfare and requiring immediate approval, such as those related to COVID-19, are exempt from the legislative requirement to publish the proposed policy or procedure for public comment prior to implementation. To keep abreast of these exempted changes to policy and procedure related to COVID-19, refer to the Coronavirus (COVID-19) Medicaid Information website, which provides guidance to Medicaid providers and managed care organizations, emergency rules, and requests LDH has submitted to the Centers for Medicare & Medicaid Services (CMS). Broader information related to COVID-19 can be found at

Louisiana’s Medicaid State Plan is an agreement between the state and the Federal government describing how Louisiana administers its Medicaid and children’s health insurance programs (CHIP). State Plan amendments (SPA) are requests from Louisiana to the Centers for Medicare & Medicaid Services (CMS) to make a change to the Louisiana Medicaid program’s policies or operational approach, make corrections, or updates to the state plan with new information. For information about current State Plan amendment submissions click here

Below are SPAs Louisiana will send to CMS for review and approval beginning August 1, 2019. To provide feedback, please complete this form.

Item Number State Plan Title Summary of Change Date Posted Comment Period Closed Document Links

Medical Transportation – Consolidated Appropriations Act 2021

The purpose of this SPA is to amend provisions governing medical transportation in order to assure necessary transportation for beneficiaries to and from covered services, helping to ensure access to care for beneficiaries who have no other means of transportation, in accordance with the requirements under the Consolidated Appropriations Act, 2021. 12/20/21 1/19/22

Attachment 3.1-A Item 24a, Pages 3-4

Attachment 3.1-D Pages 1-4

Act 421 Children’s Medicaid Option


The purpose of this SPA to provide Medicaid coverage that allows children younger than 19 years old, with disabilities, who are otherwise ineligible for such benefits because their household income exceeds state-established limits for Medicaid eligibility, access to Medicaid-funded care in their homes rather than an institution, regardless of their parents' income.

8/10/21  9/9/21 Act 421 Children’s Medicaid Option