Implementing a provider rate decrease equating to 3 percent in the aggregate, and including a reduction in the adult dental benefit and a limit reduction for certain incontinence garments for adults.

Adds Presumptive Eligibility to Family Planning Services.

Authorizes Commissioner Lawrence Kissner to Submit SPAs for KY Department for Medicaid Services.

Revises Reimbursement Methodology for Medical Transportation Program to Provide Medicaid Reimbursement for Non-Emergency Transportation Services Rendered by Public Providers.

The plan amendment allows Louisiana to comply with the federal requirements for tribal consultation for state plan amendments, waiver amendments and CHIP amendments.

The plan amendment terminates the original Program Community Care (PCCM) in the state of Louisiana. The amendment change does not have a direct impact on Indians, Indian Health programs, or Urban Indian organizations.

Revises implementation Date of Recovery Act Contract (RAC) Program Under Section 6411 of Affordable Care Act.

The plan amendment allows the state to comply with the federal requirements of the Affordable Care Act for hospice services. Tribal Consultation was not required to approval this SPA.

This amendment updates the methodology used to calculate payment rates for acute hospital outpatient services for hospital rate year 2011.

This SPA updates the inflation factors for operating costs between Hospital Rate Year (RY) 2011 and RY2012 (1.665%), and updates the base year for the outpatient payment amount per episode from RY2008 to RY2010.