State Plan Amendments 2021

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.


21-0001  ICF/IID - Temporary Reimbursement for Private Facilities   *APPROVED*

21-0002  Medication-Assisted Treatment   *APPROVED*

21-0003  Professional Services Program   *APPROVED*

21-0004  Laboratory and Radiology Services   *APPROVED*

21-0005  Nursing Facilities-Supplemental Payments   *APPROVED*

21-0006  LA Disaster SPA (Term Pharm PA extension)   *APPROVED*

21-0007  Louisiana Disaster Relief SPA, COVID-19 Vaccine Administration Reimbursement Rate Increase  *APPROVED*

21-0008  Ground Ambulance Service Providers *PENDING*

21-0009 Professional Services Reimbursement Methodology *APPROVED*

21-0010 Third Party Liability *APPROVED*

21-0011  Personal Care Services - Long Term (LT-PCS Policy Clarifications) *APPROVED*

21-0012  Disaster Relief SPA (Laboratory Services)*APPROVED*

21-0013  Disaster Relief SPA (FQHC and RHC) *APPROVED*

21-0014  Disaster Relief SPA (Medicaid Admin. Claiming - RMTS) *APPROVED*

21-0015  Twelve Months Continuous Eligibility *WITHDRAWN*

21-0016  CHIP Twelve Months Continuous Eligibility *WITHDRAWN*

21-0017  CHIP Substitution of Coverage *APPROVED*

21-0018  Recovery Audit Contractor Program *APPROVED*

21-0019  Federally Qualified Health Centers Alternative Payment Methodology *APPROVED*

21-0020  Rural Health Clinics Alternative Payment Methodology *APPROVED*

21-0021  Targeted Case Management *APPROVED*

21-0022 COVID-19 Laboratory Testing  *APPROVED*

21-0023 Behavioral Health Services  *APPROVED*

21-0024  Act 421 Children’s Medicaid Option *APPROVED*

21-0025 Disaster Relief SPA (FQHC and RHC Alternative Payment Methodology COVID-19 Treatment)  *APPROVED*

21-0026 Poison Treatment Advice and Prevention  *APPROVED*

21-0027 Medical Transportation – Consolidated Appropriations Act 2021 *APPROVED*