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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: Effective February 1, 2021, this amends the current targeted case management state plan amendment for public health nurse home visiting to include three additional counties (Baker, Clatsop and Marion).
Summary: This amendment provides an increase to rates for Medicaid nursing facility providers relating to COVID-19 occupancy issues, COVID-19 employee test costs, and updated base year cost reports.
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 modify the termination date of some previously approved provisions, to end at an earlier date.
Summary: Effective 10/01/2020 this amendment updates the reimbursement methodology for privately owned psychiatric and substance use treatment hospital services for fiscal year (FY) 2021.
Summary: Effective 10/01/2020, this amendment updates the methods and standards used to revise the payment rates for acute outpatient psychiatric and substance abuse outpatient hospitals.
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 provide authority to address the National Emergency by providing Emergency Use Authority for investigational drugs, devices, and biological agents and their administration, as well as by increasing the payment for COVID-19 vaccine administration to 100% of the Medicare rate and by providing authority for an Alternative Payment Methodology to specific providers for COVID-19 vaccine administration.
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 add pharmacists, pharmacy interns, pharmacy technicians, and pharmacies as qualified providers of COVID-19 vaccinations and to implement reimbursement for the COVID-19 vaccine administration.
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 cover pharmacy technicians, pharmacy interns and pharmacies under the Other Licensed Practitioner (OLP) benefit to administer COVID 19 vaccinations and reimburse administration of COVID-19 vaccines and treatments at 100 percent of Louisiana Region 99 Medicare rates.
Summary: Effective 12/31/2020, this amendment updates reimbursement methodology for nursing facility services - case mix scores and ventilator services.
