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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 341 to 350 of 537 results
Transmittal Number: LA-12-27
State: Louisiana
Summary: The state plan reduces reimbursement rates for the Pediatric Day Health Program by 3.7 percent in order to avoid a budget deficit.
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Topics:
  • Financing & Reimbursement
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Transmittal Number: LA-12-25
State: Louisiana
Summary: The state plan reduces reimbursement rates for Professional Services Program for formula-based and flat-fee anesthes ia services rendered by physicians by 3.7 percent in order to avoid a budget deficit.
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  • Financing & Reimbursement
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Transmittal Number: LA-12-51
State: Louisiana
Summary: Reduces reimbursement rates paid to outpatient, non rural, non-state and children's specialty hospitals by 3.7 percent in order to avoid a budget deficit.
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Topics:
  • Financing & Reimbursement
  • Program Administration
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Transmittal Number: LA-12-49
State: Louisiana
Summary: Reduces reimbursement rates for outpatient hospital services paid to state-owned hospitals by 10 percent.
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  • Financing & Reimbursement
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Transmittal Number: LA-12-34
State: Louisiana
Summary: Plan reduces reimbursement rates for physician and certified registered nursing assistants rendering anesthesia services by 3.4 percent.
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  • Financing & Reimbursement
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Transmittal Number: LA-12-59
State: Louisiana
Summary: Revises the criteria for non-rural, non-state hospitals to qualify for inpatient hospital supplemental payments.
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  • Financing & Reimbursement
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Transmittal Number: LA-12-33
State: Louisiana
Summary: The plan amendment adds qualifying criteria for intermediate care facilities with developmental disabilities, that allows a private provider to take over the operations of a state-owned hospital and operated over 50 beds.
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  • Program Administration
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Transmittal Number: LA-13-21
State: Louisiana
Summary: This plan amendment changes the base payments for outpatient hospital services for Our Lady of the Lake Hospital, Inc. to equal 95 percent of allowable Medicaid costs.
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  • Financing & Reimbursement
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Transmittal Number: LA-13-06
State: Louisiana
Summary: This plan amendment reduces the reimbursement rate methodology for physician services in the Professional Services Program by one percent.
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Transmittal Number: LA-12-64
State: Louisiana
Summary: This SPA establishes a supplemental payment for outpatient hospital services associated with Our Lady of the Lake Hospital to encourage the takeover and management of state-owned and operated outpatient hospital services.
Approval Date:
Effective Date:
Topics:
  • Financing & Reimbursement
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