The state plan reduces reimbursement rates for medical equipment, supplies and appliances by 3.7 percent in order to avoid a budget deficit.

The state plan amendment reduces the reimbursement rates for intermittent and extended nursing services and home health aide services in the Home Health Program by 3.7 percent.

This state plan amendment reduces reimbursement fees for adult denture services in order to avoid a budget deficit.

The state plan amendment reduces the reimbursement rates for emergency ambulance services by 5 percent in order to avoid a budget deficit.

Under this SPA, the state proposes to revise the current pharmacy reimbursement methodology for the ingredient cost from average wholesale price (AWP) minus 13% for independent pharmacies and AWP minus 15% for chain pharmacies to average acquisition cost (AAC).

This state plan amendment revises the implementation date of the Recovery Audit Contract (RAC) program to comply with the federal requirements under Section 6411 of the Affordable Care Act. The State will have a Medicaid RAC program in place no later than June 30, 2013.

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.

This SPA establishes a supplemental payment for outpatient hospital services associated with Our Lady of the Lake Hospital to encourage the takeover and management of state-owned and operated outpatient hospital services.

This state plan amendment revises the provisions governing coordinated care networks to include pharmacy services as a covered service under the BAYOU HEALTH Program for recipients enrolled in pre-paid health plans.

This state plan amendment adds language to include additional substance abuse screenings for Medicaid eligible pregnant women in the event of miscarriage or fetal death within the 270 day pregnancy period. The plan also lists the LaHART system as the State's screening and assessment tool for these services.