The state plan reduces the reimbursement rates paid for outpatient hospital services rendered in non-rural, non-state and Children's Specialty hospitals by 1 percent.

This plan amendment reduces the reimbursement rate methodology for physician services in the Professional Services Program by one percent.

This state plan amendment removes the provisions for dental services rendered to Medicaid eligible pregnant women in order to terminate the program as an optional covered service under the Medicaid State Plan.

The state plan amendment terminates coverage and reimbursement for rehabilitation clinic services to recipients 21 years of age or older.

The state plan increases the reimbursement rates for physician services rendered by health plans in the coordinated care networks as well as fee-for-service visits to meet compliance with Section 1202 of the Patient Protection and Affordable Care Act (PPACA) and federal regulations.

The state plan adjusts the July 1, 2012 reimbursement rate reduction for family planning services rendered by a physician from a 3.7 percent to 3.4 percent of the rate in effect on June 30, 2012.

The state plan revises the reimbursement methodology for physician services (outpatient) rendered through the Louisiana Behavioral Health Partnership (LBHP) in order to establish distinct payment methodology that is independent of the payment methodology for physicians in the Professional Services Program.

This plan amendment changes the base payments for outpatient hospital services for Our Lady of the Lake Hospital, Inc. to equal 95 percent of allowable Medicaid costs.

This amendment revises the three-year look back period and extends it to a five-year look back period for the audit review of provider claims data for the Recovery Audit Contract (RAC). It also clarifies the payment method for the contractor.

The state plan amendment reduces the reimbursement rates for adult denture services 1.5 percent.