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Medicaid State Plan Amendments

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.

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Showing 301 to 310 of 537 results
Transmittal Number: LA-13-54-MM6
State: Louisiana
Summary: Affirms Citizenship Regulations, Specifies Reasonable Opportunity Options, and Specifies Policy Options related to Immigrant Eligibility.
Approval Date:
Effective Date:
Topics:
  • Eligibility
Links:
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Transmittal Number: LA-13-0053-MM5
State: Louisiana
Summary: This allows the State to affirm residency regulations in accordance with the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: LA-13-0054-MM6
State: Louisiana
Summary: This SPA affirms citizenship regulations, specifies reasonable opportunity options and specifies policy options related to immigrant eligibility in accordance with the Patient Protection and Affordable Care Act.
Approval Date:
Effective Date:
Topics:
  • Eligibility
  • Program Administration
Links:
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Transmittal Number: LA-13-45
State: Louisiana
Summary: Amends the provisions governing third party liability to discontinue the practice of allowing providers to pursue collection of the difference from liable of the third parties in traumatic injury cases.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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Transmittal Number: LA-13-56
State: Louisiana
Summary: This SPA excludes all income when determining eligibility for pragnent minors.
Approval Date:
Effective Date:
Topics:
  • Benefits
  • Eligibility
  • Financing & Reimbursement
Links:
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Transmittal Number: LA-13-57
State: Louisiana
Summary: This SPA disregards the income of children age 6 to 18 up to 142 percent of the Federal Poverty Level.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: LA-13-30
State: Louisiana
Summary: Changes the criteria and reimbursement methodology for outpatient hospital services in order to makie Terrebonne General Hospital Qualify for the supplemental payment that West Jerrerson is current receiving.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: LA-13-39
State: Louisiana
Summary: Reduces the amount of disproporitionate share hospital pool for federally mandated statutory hospitals.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
Links:
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Transmittal Number: LA-13-36
State: Louisiana
Summary: Removes exclusion language for physician services because the State has approved the Affordable Care Act Primary Care Payment Bump.
Approval Date:
Effective Date:
Topics:
  • Program Administration
Links:
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Transmittal Number: LA-13-036
State: Louisiana
Summary: Removes Exclusion Language for Physician Services because the State Has Approved of the Affordable Care Act Primary Payment Bump.
Approval Date:
Effective Date:
Topics:
  • Benefits
Links:
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