Medicaid State Plan Amendments 2022

 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.

22-0001 CHIP - American Rescue Plan (ARP) Act Coverage *APPROVED*
22-0002 Federally Qualified Health Centers and Rural Health Clinics Alternative Payment Methodology *APPROVED*
22-0003 Community Health Worker Services *APPROVED*
22-0004 EPSDT – Personal Care Services *APPROVED*
22-0005 Nursing Facilities - Reimbursement Methodology Cost Reports *APPROVED*
22-0006 Pharmacy Benefits Management Program - COVID-19 Over-the-Counter Tests *APPROVED*
22-0007 Adult Mental Health Services (Crisis Stabilization) has  *APPROVED*
22-0008 Outpatient Hospital Services Payment COVID-19 Testing  *APPROVED*
22-0009 Twelve Months Postpartum Coverage *APPROVED*
22-0010 CHIP Medicaid Twelve Months Postpartum Coverage *APPROVED*
22-0011 LA Intermediate Care Facilities for Persons with Intellectual Disabilities – Reimbursement Methodology – Direct Care Floor   *APPROVED*
22-0012 Routine Patient Costs - Qualifying Clinical Trials   *APPROVED*
22-0013 LA Medicaid Disaster Relief - ICF-IID Direct Care   *APPROVED*
22-0014 Personal Care Services – Direct Service Workers Qualifications  *APPROVED*
22-0015 LA Medicaid Disaster Relief – Home and Community Based Services Spending Plan  *APPROVED*
22-0016 Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Complex Care Reimbursements  *APPROVED*
22-0017 American Rescue Plan Act COVID-19 Testing  *APPROVED*
22-0018 Intermediate Care Facilities for Individuals with Intellectual Disabilities Reimbursement Methodology  *APPROVED*
22-0019 Intermediate Care Facilities and Nursing Facilities Reimbursement Methodology  *APPROVED*
22-0020 Federal Medical Assistance Percentage *APPROVED*
22-0021 Inpatient Hospital Services - Urban Metropolitan Statistical Area Facility  *APPROVED
22-0022 Outpatient Hospital Services - Urban Metropolitan Statistical Area Facility  *APPROVED*
22-0023 Home Health Durable Medical Equipment-Enteral Formula Reimbursement  *APPROVED*
22-0024 Home Health Emergency Provisions  *WITHDRAWN*
22-0025 Hospice Emergency Services Inpatient Care *WITHDRAWN*
22-0026 Behavioral Health Services  *APPROVED*
22-0027  Outpatient Hospital Services Reimbursement Methodology (Out of State Hospitals)  *APPROVED*
22-0028 EPSDT Early Steps Reimbursement Methodology  *APPROVED*
22-0029 Intermediate Care Facilities for Individuals with Intellectual Disabilities - Dedicated Pool Payments  *APPROVED*
22-0030 EPSDT Targeted Case Management EarlySteps Reimbursement Methodology  *APPROVED*
22-0031 EPSDT LA Medicaid Disaster Relief SPA - HCBS PCS  *APPROVED*
22-0032 EPSDT Pediatric Day Health Care Program  *APPROVED*
22-0033  Inpatient Hospital Services - Urban Metropolitan Statistical Area Facility-New Orleans *APPROVED*
22-0034  Outpatient Hospital Services - Urban Metropolitan Statistical Area Facility-New Orleans  *APPROVED*
22-0035  Inpatient Hospital Services – Teaching Classification Qualifications  *APPROVED*
22-0036  Inpatient Hospital Services – Genetic Testing of Critically Ill Infants  *APPROVED*
22-0037  EPSDT – Personal Care Services – Personal Care Workers Wage Enhancement  *APPROVED*

Surgeon General Evelyn Griffin, MD

Secretary Bruce D. Greenstein

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