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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 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: 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.
Summary: Revises the provisions governing the Professional Services program in order to allow certified medical assistants to apply fluoride varnish under the direction of a certified physician, and to establish training requirements for appliers of fluoride varnish.
Summary: Revises the provisions governing Rural Health Clinics (RHCs) in order to allow certified medical assistants to apply fluoride varnish under the direction of a certified physician, and to establish training requirements for appliers of fluoride varnish.
Summary: Amends the provisions for Federally Qualified Health Centers (FQHCs) to allow certified medical assistants to apply fluoride varnish under the direction of a physician and to establish training requirements for the applier of fluoride varnish.
Summary: This amendment proposes to revise the provisions governing qualifying criteria for disproportionate share hospitals payments to LA low-income Academic Hospitals.