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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: The state plan revises the reimbursement methodology for Family Planning Clinics to be equal to the reimbursement rates for family planning services in the Professional Services Program.
Summary: The state plan revises the physician services covered in the Professional Services Program in order to reclassify optometry services as a mandatory physician service under the Medicaid State Plan.
Summary: The state plan reduces the reimbursement rates paid for outpatient hospital services rendered in non-rural, non-state and Children's Specialty hospitals by 1 percent.
Summary: The state plan revises the reimbursement methodology for physician services (outpatient) rendered through the Louisiana Behavioral Health Partnership (LBHP) in order to establish distinct payment methodology that is independent of the payment methodology for physicians in the Professional Services Program.
