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Table of Contents State/Territory Name: Louisiana State Plan Amendment (SPA) #: 220003 This file contains the following documents in the order listed: 1) Approval Letter 2) CMS 179 Form/Summary Form
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wwwldh.la.gov/assets/medicaid/table-of-contents/state-territory refers to the webpage that contains information on the Medicaid program for a specific state or territory.
Healthcare providers, facilities, and organizations participating in the Medicaid program in a specific state or territory are required to file wwwldh.la.gov/assets/medicaid/table-of-contents/state-territory.
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Providers must report information such as patient demographics, services provided, billing details, and any other relevant data required by the state or territory's Medicaid program.
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