RULEMAKING: Medicaid - Notices of Intent

June 11, 2019
Repeals the provisions in Outpatient Hospital Services and Laboratory and Radiology Services governing Radiology Utilization Management in order to align with current fee-for-service and managed care practices relative to prior authorization of high-end radiology services.
May 10, 2019
Amends the general provisions governing home and community-based services (HCBS) waivers in order to require HCBS providers to verify employee Social Security numbers, and to clarify and ensure that these provisions are appropriately promulgated in the Louisiana Administrative Code.
April 12, 2019
Amends the provisions governing the State Supplemental Rebate Agreement Program in order to remove the requirement for participation in a specific supplemental rebate agreement.
April 12, 2019
Amends the provisions governing the licensing of hospitals in order to clarify the requirements that licensed hospitals shall: 1) be primarily engaged in providing inpatient care and services to inpatients, and 2) ensure that dietary services provided through a contract with a food delivery service meet the same standards as hospitals that provide in-house dietary services to patients..
April 12, 2019
Amends the provisions governing personal care services (PCS) in the Early and Periodic Screening, Diagnosis and Treatment Program in order to clarify these provisions and update requirements relative to utilization of an electronic visit verification system, billable units, and delivery of PCS.
March 08, 2019
Adopts a reimbursement methodology for a nursing facility that is operated by an entity that has a Cooperative Endeavor Agreement (CEA) with Louisiana State University (LSU) to conduct a geriatric nursing facility training program at the location of the current John J. Hainkel, Jr. Home and Rehabilitation Center, or any other location approved by the parties and the department.
March 08, 2019
Amends the provisions governing the programmatic allocation of waiver opportunities in the Community Choices Waiver in order to give priority to individuals not receiving any other Medicaid home and community-based service.
February 11, 2019
Repeals the provisions of Title 48, Part I, Chapter 49 of the Louisiana Administrative Code governing case management licensing standards and replaces them with provisions governing the licensing of support coordination providers to ensure that these provisions are consistent with other health care licensing requirements and are promulgated in a clear and concise manner.
February 11, 2019
Amends the provisions governing reimbursement in the Pharmacy Benefits Management Program in order to: 1) reinstate the federal upper payment limits provisions that were erroneously repealed in the Notice of Intent published in the January 20, 2019 edition of the Louisiana Register; 2) align the reimbursement methodology for physician-administered drugs in a physician office setting with the corresponding CMS-approved State Plan Amendment; and 3) ensure that these provisions are appropriately promulgated in the Louisiana Administrative Code.
February 11, 2019
Amends the provisions governing the Direct Service Worker (DSW) Registry in order to 1) provide a process for direct service workers who have been placed on the DSW Registry with a negative finding of neglect to a client to request removal, under certain conditions, and to provide for appeal opportunities if the reinstatement request is denied; and 2) clarify and ensure that the provisions for the DSW Registry are promulgated in a clear and concise manner.