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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: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to increase bonus payments to personal care services and targeted case management providers in order to address the COVID-19 Public Health Emergency (PHE) and in accordance with the State’s approved Home and Community Based Services spending plan authorized under Section 9817 of the American Rescue Plan Act.
Summary: The purpose of this SPA is to amend the provisions governing the reimbursement methodology for ICFs/IID in order to allow for an additional add-on rate for comprehensive dental care provided to Medicaid beneficiaries age 21 or older who reside in these facilities.
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 certain COVID-19 disaster relief provisions governing long-term personal care services currently authorized under disaster relief SPA LA TN 20-0004.
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 COVID-19 disaster relief provision governing direct wage floor and workforce retention bonus payments to long-term personal care providers, in accordance with the State's approved disaster relief SPA LA TN 22-0031.
Summary: This SPA is to amend the provisions governing adult dentures services in order to link reimbursement rates to the Louisiana Medicaid fee schedule.
Summary: This SPA is to amend the provisions governing Early and Periodic Screening Diagnostic and Treatment dental services, in order to link dental services to the Louisiana Medicaid fee schedule.
Summary: This SPA is to adopt the changes to the eligibility rules for the Former Foster Care Children eligibility group, as enacted by the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORD Act, Pub. L. No. 115-217, section 1002.
Summary: This SPA is to amend the provisions governing the Home Health Program in order to increase the number of medical professionals that can order home health services.
