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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 adopts 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 (SUPPORT) Act, Pub. L. No. 115-217, section 1002.
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.
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 amend the provisions governing Targeted Case Management in order to extend the suspension of face-to-face requirements as approved in disaster relief SPA 20-0006, through November 11, 2023.
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 COVID-19 disaster relief provisions governing long-term personal care services in order to allow exceptions for the age, education and experience for the personal care services worker qualifications.
Summary: This SPA is to amend the provisions governing behavioral health rehabilitation services in order to remove the face-to-face requirement for Community Psychiatrics Support and Treatment (CPST) and to add permanent supportive housing agencies to the provider qualifications for Peer Support Services (PSS).
Summary: This State Plan Amendment provides an increase to the ground ambulance transport services fee-schedule rates. These services include advanced life support levels one and two, advanced life support level one emergency, basic life support, basic life support emergency, and specialty care transport.
