Impact

The record, line by line

Every figure below traces to a published Medicaid fee schedule, an enacted appropriation, or a signed act. This is what organized provider advocacy produced.

By the numbers

$40.7M

Total increase

Additional combined state and federal appropriations over 3 years supporting Medicaid SUD reimbursement.

Budget records; Act 4 of 2024; FY26 HB 1

$10.0M

State increase

Additional State General Fund.

Budget records; Act 4 of 2024; FY26 HB 1

$30.7M

Federal increase

$30,666,069 in additional federal funds.

Budget records; FY26 HB 1

Rate comparison

Louisiana Medicaid SUD fee-for-service rates, 2023 vs. 2026

ASAM 2.1 IOP — master's level

+25% · +$36.00 day

2023
$144.00
2026
$180.00

ASAM 3.1 residential — adult

+71% · +$49.96 day

2023
$70.30
2026
$120.26

ASAM 3.5 residential — adult

+43% · +$91.20 day

2023
$212.47
2026
$303.67

ASAM 3.7 residential — adult

+39% · +$114.13 day

2023
$290.00
2026
$404.13

ASAM 3.7-WM acute detox — adult

+47% · +$135.61 day

2023
$290.00
2026
$425.61

Methadone administration

+25% · +$4.08 day

2023
$16.33
2026
$20.41
Medicaid SUD rate comparison between 2023 and 2026
Service20232026IncreaseChange
ASAM 2.1 IOP — master's levelday$144.00$180.00+$36.00+25%
ASAM 3.1 residential — adultday$70.30$120.26+$49.96+71%
ASAM 3.5 residential — adultday$212.47$303.67+$91.20+43%
ASAM 3.7 residential — adultday$290.00$404.13+$114.13+39%
ASAM 3.7-WM acute detox — adultday$290.00$425.61+$135.61+47%
Methadone administrationday$16.33$20.41+$4.08+25%

Rate examples compare Louisiana Medicaid SBH schedules effective 7/24/2023 and 7/1/2026. Adult rates shown where age tiers differ. Percentages calculated from published fee-for-service rates. Values rounded.

Sources: Louisiana Medicaid SBH schedules (7/24/2023 and 7/1/2026); budget records; Act 4 of 2024; FY26 HB 1; Act 692/HB 374; LDH FNR.

Policy outcomes

2024

Act 692 / HB 374 — facility need review protections

LATP championed facility-need review protections for residential substance use treatment providers — helping Louisiana grow capacity based on demonstrated need, sustainable access and quality of care.

  • Smart growth

    Capacity tied to documented public need

  • Stable access

    Less risk of destabilizing oversaturation

  • Quality focus

    Supports sustainable staffing and care

Act 692/HB 374; LDH FNR

2023–2026

Three years of appropriations wins

LATP elevated provider data, educated budget leaders and helped secure $40.7 million in additional combined state and federal appropriations supporting Medicaid SUD reimbursement.

  • Provider data

    Cost and capacity evidence brought to budget leaders

  • Rate movement

    Increases across IOP, residential, withdrawal management and methadone

  • Sustained effort

    Wins across three consecutive budget cycles

Louisiana Medicaid SBH schedules (7/24/2023 and 7/1/2026); budget records

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