This SPA modifies qualification criteria for Disproportionate Share Hospitals and their reimbursement methodology.

This SPA increases state plan nursing facility rates, including the Medicaid portion of a provider assessment on nursing facility bed days.

This amendment implements a payment adjustment for provider preventable conditions.

Implements Health Homes as authorized under Section 2703 of the Patient Protection and Affordable Care Act. To qualify for enrollment in this health home program an individual must have one or more serious and persistent mental illness (SMI) conditions.

Under this SPA, the State of Louisiana proposes to define the Louisiana State Maximum Cost (LMAC) as the average acquisition cost of a drug increased by 135 percent.

The state plan revises the reimbursement methodology for the EPSDT program to establish coverage for school-based nmsing services rendered to children enrolled in Louisiana schools.

This state plan amendment proposes a supplemental payment to physicians and other eligible professional services practitioners affiliated with the Tulane University School of Medicine.

This state plan amendment reduces the reimbursement rates for prosthetic and orthotic devices/services by 3.7 percent in order to avoid a budget deficit.

This state plan amendment reduces the reimbursement rates for longterm personal care services by 1.5 percent in order to avoid a budget deficit.

This state plan amendment reduces the reimbursement rates for dental services rendered to Medicaid eligible pregnant women in order to avoid a budget deficit in the State of Louisiana.