This SPA establishes ongoing authority for the reimbursement methodology for Durable Medical Equipment (DME) considered to be oxygen and respiratory equipment.

This plan amendment updates the rates for Adult Foster Care.

The purpose of this SPA is to establish the criteria for an acute care hospital to qualify as an urban metropolitan statistical area (MSA) facility in the New Orleans area and establish the reimbursement methodology for the provision of outpatient services.

The purpose of this SPA is to establish the criteria for an acute care hospital to qualify as an urban metropolitan statistical area (MSA) facility in the New Orleans area and establish the reimbursement methodology for the provision of inpatient services.

This amendment rebases the rate for Residential Treatment Centers to $850 per day, updated annually based on CMS published market basket increase percentage relating to hospitals.

This SPA is being submitted to allow the Division of Medicaid (DOM) to update the rates for durable medical equipment (DME) and Medical Supplies October 1, 2022 and July 1 of each year thereafter based on the Medicare Rural Rate in effect January 1 of that year, effective October 1, 2022.

This State Plan Amendment supersedes TN: 13-005 and increases the rate of reimbursement for Monkeypox Vaccine Administration to $15. This rate will expire with the conclusion of the Monkeypox public health emergency.

This SPA updates reimbursement for prosthetic and orthotic supplies.

This plan updates the rates and methodology for dental services.

This plan updates rates and methodology for Durable Medical Equipment (DME), including specific breast pumps and accessories.