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MedicaidAdministrativeLow impact

Personal Care Needs Allowance and Optional State Supplement Amounts Increasing July 1, 2025

Louisiana Medicaid·LA·Provider Update
Effective date
Jul 1, 2025
We identified it
Jun 18, 2026
Days to comply

Summary

Louisiana Medicaid is increasing the Personal Care Needs Allowance (PCNA) from $38 to $45 and the Optional State Supplement (OSS) from $8 to $15 for long-term care members, effective July 1, 2025. These changes affect allowances for personal care items not covered by facility fees.

Action Required

Action needed
No action required for billing team. This policy change affects member allowances for personal care items in long-term care facilities, not billing procedures or reimbursement rates for healthcare services.