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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: Revise the provisions goveming the reimbursement methodology for nursing facilities in order to change the nursing facility rate setting method from a point'in- time methodology which determines rates by services utilized at a specific time, to a time-weighted methodology which determines rates by services over a longer period of time.
Summary: Reduces the amount of the disproportionate share hospital (DSH) payments pool for federally mandated statutory hospitals from $1,000,000 to $1,000.
Summary: Revise the reimbursement methodology for disproportionate share hospital (DSH) payments to Louisiana low-income academic hospitals in order to revise the reimbursement schedule from annual to quarterly payments.
Summary: This amendment reduces the amount appropriated from $1,000,000 to $1,000 for annual supplemental Medicaid payments for non-rural, non-state and private acute care hospital s that qualify as high Medicaid hospitals.
Summary: Adds a provision that limits rates from dropping below prior SFY rates and (2) Proposes an additional $650,000 to be allocated to special care nursing facilities for the period January 1, 2014 through June 30, 2014.
Summary: Amends the reimbursement methodology for outpatient hospital services to increase Medicaid reimbursement rates paid to non-rural, non-state hospitals and children's specialty hospitals.
Summary: Revise the provisions governing the reimbursement methodology for inpatient hospital services to increase the Medicaid reimbursement rates paid to non-rural, non-state hospitals.
Summary: This state plan amendment amends the provisions governing long-term care personal care services (LT-PCS) in order to terminate the Louisiana Personal Options Program (LaPOP), revise the eligibility requirements for shared LTPCS and to clarify the provisions governing the activities of daily living.
