CMS Letter Disapproving Lousiana Public-Private Partnership State Plan Amendments 13-23, 13-25, And 13-28

On May 2, 2014, the Centers for Medicare and Medicaid Services (CMS) released a letter disapproving Louisiana State Plan Amendments (SPAs) 13-23, 13-25, and 13-28.  The amendments propose to provide for supplemental Medicaid inpatient hospital payments and disproportionate share hospital (DSH) payments to private hospitals participating in public-private partnerships. CMS states that Louisiana did not establish that the arrangements were consistent with the restrictions on claims for federal Medicaid funding when a state receives donations from, or imposes taxes on, providers or provider-related entities. To the extent that the arrangements would not be consistent with . . .