PUBLIC NOTICE Louisiana Department of Health Bureau of Health Services Financing and Office for Citizens with Developmental Disabilities Residential Options Waiver The Louisiana Department of Health (LDH), Bureau of Health Services Financing and the Office for Citizens with Developmental Disabilities (OCDD) currently provide home and community-based services through the Residential Options Waiver (ROW) to eligible Medicaid recipients. LDH hereby gives public notice of its intent to seek approval from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) for an amendment of its application for the ROW program. In compliance with CMS requirements, OCDD is posting the ROW amendment application (LA.005.03.03) for public comment from September 19, 2025, through October 19, 2025. CMS regulations require LDH to actively engage the public and give program participants, advocates, providers and other community stakeholders the chance to provide input regarding changes made to current waiver applications prior to submission of final versions to CMS. The ROW amendment application is posted to the OCDD website and may be accessed at the following address: (https://ldh.la.gov/page/2526). A hard copy of the application is available for viewing at the Human Services District/Authority (HSD/A) in your region. The HSD/A in your region can be found at: (https://www.ldh.la.gov/page/local-governing-entities), or by calling 866-783-5553. Implementation of the provisions of this waiver amendment application is contingent upon CMS approval. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin #21), Baton Rouge, LA 70821-3117 or by email to ocdd-hcbs@la.gov. The deadline for receipt of all written comments is October 19, 2025, by 4:30 p.m. This notice was published in accordance with R.S. 42:81, at a total cost of $ 53.34. Bruce D. Greenstein Secretary 158856 Sept. 19, 1t $53.34