PUBLIC NOTICE - - - PUBLIC NOTICE Louisiana Department of Health Bureau of Health Services Financing and Office of Aging and Adult Services Community Choices Waiver The Louisiana Department of Health (LDH), Bureau of Health Services Financing (BHSF) and the Office of Aging and Adult Services (OAAS) currently provide home and community-based services through the Community Choices (CC) Waiver to eligible Medicaid participants. The department hereby gives public notice of its intent to submit an application for a waiver amendment to the U.S. Department of Health and Human Services (DHHS), Centers for Medicare and Medicaid Services (CMS) in order to amend services in the CC Waiver. The amendment of this waiver is contingent upon CMS approval. In compliance with CMS requirements, the department is posting the CC Waiver amendment application (LA.0866.R03.03) for public comment from September 12, 2025 through October 12, 2025. CMS regulations require LDH to actively engage the public and give program participants, advocates, providers and other community stakeholders the opportunity to provide input regarding changes made to current waiver applications prior to the submission of final versions to CMS. The CC Waiver amendment application is posted to the OAAS website and may be accessed at the following address: https://www.ldh.la.gov/news/7566. A hard copy of the amendment may be requested by calling the OAAS Help Line at 1-866-758-5035 and is available for viewing at the OAAS Regional Offices (ROs). The location of the OAAS RO in your region can be found at: https://ldh.la.gov/microsite/12 or by calling the OAAS Help Line at 1-866-758-5035. Interested persons may submit written comments to the Office of Aging and Adult Services, P.O. Box 2031 (Bin #14), Baton Rouge, LA 70821-2031 or by email to OAASDocumentsRequests@LA.GOV. The deadline for receipt of all written comments is October 12, 2025 by 4:30 p.m. This notice was published in accordance with R.S. 42:81, at a total cost of $ 55.06. Bruce D. Greenstein Secretary 157899-SEP 12-1T $55.06