Medicaid State Plan Amendments | Louisiana Department of Health

Medicaid State Plan Amendments | Louisiana Department of Health
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Medicaid State Plan Amendments
Medicaid State Plan Amendments
Louisiana’s Medicaid State Plan is an agreement between the state and the Federal government describing how Louisiana administers its Medicaid and children’s health insurance programs (CHIP). State Plan Amendments (SPA) are requests from Louisiana to the Centers for Medicare & Medicaid Services (CMS) to make a change to the Louisiana Medicaid program’s policies or operational approach, make corrections, or update the state plan with new information. For information about current State Plan amendment submissions, click here.
Below are SPAs Louisiana will send to CMS for review and approval beginning August 1, 2019.
Item Number
State Plan Title
Summary of Change
Date Posted
Comment Period Closed
Document Links
SPA-2025-02
Targeted Case Management Ventilator Care Coordination
The purpose of this SPA is to amend the provisions governing Targeted Case Management (TCM), in order to allow eligible beneficiaries, birth through 25, who require the use of mechanical ventilation to receive ventilator care coordination services. TCM services are services furnished to assist individuals, eligible under the State Plan, in gaining access to needed medical, social, educational and other services.
8/22/25
8/29/25
Supplement 1 to Attachment 3.1-A, Pages 14-18
Attachment 4.19-B Item 19 Page 2
SPA-2025-01
Services to Incarcerated Youth
The purpose of this SPA is to implement required coverage for incarcerated youth in Medicaid as described in section 5121 of the Consolidated Appropriations Act, 2023 (CAA, 2023).
6/30/25
7/7/25
Attachment 4.19-B, Item 19, page 3
SPA-2024-01
ICF/IID Reimbursement Methodology
The purpose of this SPA is to amend the provisions governing the reimbursement methodology for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), by continuing the $12 add‐on to private (non-state) owned ICF/IID for increased costs related to retaining and hiring direct care staff, through June 30, 2025.
5/8/24
6/8/24
Attachment 4.19-D, Page 26
SPA-2023-06
Pharmacy Benefits Management Program
The purpose of this SPA is to amend the provisions governing reimbursement in the Pharmacy Benefits Management program in order to increase the professional dispensing fee to $11.81 per prescription.
5/31/23
6/29/23
Attachment 4.19-B Item 12a Page 1
SPA-2023-05
American Rescue Plan Act COVID-19 Vaccine, Vaccine Administration, and Treatment
The purpose of this SPA is to demonstrate compliance with the American Rescue Plan Act provisions that require states to cover COVID-19 vaccines, vaccine administration, and treatment.
5/25/23
6/1/23
7.4-A Vaccine and Vaccine Administration at Section 1905(a)(4)(F) of the Social Security Act
7.4-C COVID-19 Treatment at Section 1905(a)(4)(F) of the Social Security Act
Related Information
SPAs previously posted for public comment
Public comments submitted
Surgeon General
Evelyn Griffin, MD
Secretary
Bruce D. Greenstein
Cicero Government