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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 311 to 320 of 537 results
Transmittal Number: LA-13-41
State: Louisiana
Summary: Excludes certain procedure Codes because of the Federal sequestration that decreased the January 2013 Medicare raises. These procedure codes affect physicians rendering services in a phychiatric treatment residential facility.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: LA-13-27
State: Louisiana
Summary: To establish a distinct payment methodology that is independent of the payment methodology established forphysicians in the professional services program.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: LA-13-35
State: Louisiana
Summary: Reduces the reimbursement rates for Early and Periodic Screening Diagnosis and Treatment dental services by 1.5 percent.
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  • Financing & Reimbursement
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Transmittal Number: LA-13-29
State: Louisiana
Summary: Changes the qualifying criteria for teaching hospitals by clarifying how a facility will be considered as a major and minor teaching hospital in a graduate medical education program, and what is an approved residency program.
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Topics:
  • Program Administration
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Transmittal Number: LA-13-34 T
State: Louisiana
Summary: The state plan amendment reduces the reimbursement rates for adult denture services 1.5 percent.
Approval Date:
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Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-13-40
State: Louisiana
Summary: Adjusts the per diem rate for private and non-state nursing facilities.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-12-43
State: Louisiana
Summary: The state plan amendment reduces the reimbursement rates for intermittent and extended nursing services and home health aide services in the Home Health Program by 3.7 percent.
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  • Financing & Reimbursement
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Transmittal Number: LA-13-32
State: Louisiana
Summary: Reduces the rates paid for leave of absence days in nursing facilities to 10 percent of the applicable per diem rates.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-12-60
State: Louisiana
Summary: Provides a supplemental Medicaid payment to qualifying non-rural, non-state government hospitals for the state fiscal year 2013.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: LA-13-15 M
State: Louisiana
Summary: Revise the pass through component of the Nursing Facility reimbursement methodology to reflect the increase in provider fees.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
  • Program Administration
Links:
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