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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: This state plan amendment proposes to exclude the Louisiana Health Insurance Premium Payment (LAHIPP) enrollees from participation in managed care for physical and behavioral health.
Summary: This state plan amendment proposes to reinstate the Louisiana Health Insurance Premium Payment (LAHIPP) program in order to reduce Medicaid costs by establishing or maintaining a third party resource as the primary payer of the Medicaid recipient's medical expenses.
Summary: This state plan amendment proposes to amend the provisions governing reimbursement for professional services in the Medical Assistance program to establish provisions governing a one percent Federal Medical Assistance Percentage (FMAP) point increase for the coverage of specific adult vaccines and clinical preventative services provided on a fee for service or managed care basis.
Summary: This amendment proposed to reimburse clotting factor obtained through the 340B program at the product's 340B ceiling price plus 1.3662 percent, plus the professional dispensing fee of 2.75 cents per unit.
Summary: Updates the provisions governing former foster care adolescents in order to terminate the CMS-approved state option to provide Medicaid coverage to youth formerly enrolled in foster care under the responsibility of another state.
Summary: Updates inpatient acute hospital (in-state & out-of-state) base rates and revises the distribution methodology for High Public Payer Hospital supplemental payment to eligible hospitals. Additionally, a conditional l0% adjustment to be added to the Essential MassHealth Hospital supplemental payment.
Summary: Changes to the reimbursement methodology for private inpatient chronic disease and rehabilitation (CDR) hospital services. Specifically, it specifies rate year (RY) 2017 cost adjustment inflation factor of zero percent.
