This amendment increases the reimbursement rate for Personal Care Services.

This SPA sunsets the nursing facility bed reduction process as of June 30,2018, and sets the nursing facility reimbursement at the 62"d percentile of allowable costs for the period July l, 2018 to June 30, 2026.

This amendments updates the State's Early and Periodic Screening, Diagnostic and Treatment (EPSDT) periodicity schedule.

This proposes to amend the provisions governing managed care for physical and behavioral health to clarify that Medicaid recipients who are in need of applied behavior analysis-based therapy must access these services through a managed care organization under the Health Louisiana program.

Proposing to add International Board-Certified Lactation Consultants (IBCLCs) to its Medicaid State Plan.

This modifies coverage and reimbursement for Psychiatric Residential Treatment Facility (PRTF) leave days. Leave days will be reimbursed at 50 percent of the PRTF per diem rate for a maximum of 5 days per treatment episode for medical leave and l0 days per treatment episode for therapeutic leave.

Outpatient Hospital Rates and Methodologies.

Change the payment methodology for DME/POS based on the 21st Century CURES ACT, to pay 100% of the lowest Medicare rate for those codes impacted by the CURES ACT, except oxygen and oxygen services.

Provides an increase to the supplemental payment amount for Martin Luther King, Jr. - Los Angeles Healthcare Corporation (MLK-LA).

This State Plan Amendment implements changes to the delivery and reimbursement of health care services via telehealth.