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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: Align the reimbursement rates for out of state Inpatient Hospital Services with current instate inpatient per diem rates for like hospital services.
Summary: This SPA is to amend the provisions governing Targeted Case Management under the New Opportunities Waiver (NOW) and Early and Periodic Screening, Diagnostic and Treatment (EPSDT) programs, in order to allow two quarterly virtual visits that are not the initial visit or the annual plan of care visit.
Summary: The purpose of this SPA is to amend the provisions governing inpatient hospital services in order to remove language in the Medicaid State Plan that is obsolete.
Summary: This amendment is to revise the provisions governing the Preventive Services program in order to expand coverage for tobacco cessation counseling services to all Medicaid beneficiaries.
Summary: The purpose of this SPA is to amend the provisions governing rural health clinics (RHCs) in order to remove the cutoff date to allow existing RHCs licensed as small rural hospital outpatient departments after July 1, 2007 and new RHCs to be reimbursed at 110 percent of cost.
Summary: The purpose of this SPA is to provide governing long-term personal care services (LT-PCS) in order to update and remove obsolete terminology and to ensure that consistent language is used.
Summary: The purpose of this SPA is to amend the provisions governing home health services to align reimbursement with the Louisiana Medicaid fee schedule.CMS is issuing this technical correction package for LA-23-0029 to exclude page 2a which is being deleted and to include pages 4 and 5 which were inadvertently excluded from the approval package.
Summary: CMS is approving this time-limited state plan amendment to allow the state to implement temporary policies while returning to normal operations after the COVID-19 national emergency. The purpose of this amendment is to extend the disaster relief provisions governing preventive services in order to reimburse ambulance service providers who provide allowable services on site, without transport, while under the supervision of a licensed physician.
Summary: The purpose of this SPA is to amend the provisions governing reimbursement for FQHCs in order to establish an alternative payment methodology (APM) that provides an add-on of $30 per encounter, in addition to the Prospective Payment System (PPS) rate on file for the same date of service.
