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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 amend the provisions governing laboratory and radiology services to terminate coverage and reimbursement for proton beam radiation therapy rendered to recipients 21 years of age and older.
Summary: This state plan amendment proposes to increase reimbursement rates for outpatient hospital services paid to non-rural, non-state hospitals and children's specialty hospitals, to the rates in effect on June 30, 2010.
Summary: This amendment proposes to revise the reimbursement methodology for inpatient hospital services to increase the Medicaid reimbursement rates paid to non-rural, non-state hospitals and to free-standing rehabilitation hospitals.
Summary: This state plan amendment proposes to amend the qualifying criteria for supplemental payments to physicians and other professional service practitioners in order to clarify these provisions.
Summary: This state plan amendment proposes to amend the provisions governing hospital services and to establish provisions governing Medicaid reimbursement for legislatively mandated newborn screenings in an acute inpatient hospital setting.
Summary: This amendment proposes to suspend the provisions governing the reimbursement methodology for nursing facilities in order to impose provisions to ensure that the current rates in effect do not increase for the state fiscal year 2018 rating period.
Summary: This SPA proposes to bring Louisiana into compliance with the reimbursement requirements in the Covered Outpatient Drug final rule with comment period (CMS-2345-FC), such as the provisions in 42 CFR 447.518(a).
