RULEMAKING: Medicaid - Notices of Intent

September 11, 2018
Adopts provisions governing an expedited licensing process and fees for healthcare facilities and providers licensed by the department in compliance with Act 324 of the 2018 Regular Session of the Louisiana Legislature.
September 11, 2018
Repeals and replaces the provisions governing the licensing standards for emergency medical transportation services in order to: 1) clarify and align these provisions with the corresponding legislative authorities governing emergency medical services; 2) ensure that the provisions are consistent with standard language used in other health care licensing regulations; and 3) promulgate the provisions in a clear and concise manner in the Louisiana Administrative Code in compliance with Act 789 of the 2012 Regular Session, Act 106 of the 2017 Regular Session, and Act 557 of the 2018 Regular Session of the Louisiana Legislature.
August 10, 2018
Amends the provisions governing The Optimal PDL $olution (TOP$) State Supplemental Rebate Agreement Program in order to include pharmacy utilization of managed care organizations (MCOs) that participate in the Healthy Louisiana Program and implement a single state managed preferred drug list to maximize supplemental rebates on MCO utilization.
August 10, 2018
Amends the provisions governing the administrative procedures for the administration of the Medical Assistance Program in order to adopt provisions which require current or prospective employees, contractors or subcontractors, within the Medicaid eligibility section that have access to federal tax information or criminal history record information, to submit to criminal history records checks.
August 10, 2018
Repeals and replaces the Rules governing inpatient hospital services in order to adopt an all patient refined diagnostic related group reimbursement methodology and to revise the remaining provisions for inpatient hospital services to ensure that these provisions are appropriately promulgated in a codified format for inclusion in the Louisiana Administrative Code.
August 10, 2018
Amends the provisions governing provider participation in the Home Health Program in order to remove the accreditation requirements for pharmacies that provide medical equipment, supplies and appliances, in compliance with federal regulations mandated by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
August 10, 2018
Amends the Rule governing the dental benefits prepaid ambulatory health plan in order to adopt provisions for the independent process for the review of dental benefit plan manager provider claims payment determinations that are adverse to dental providers.
July 10, 2018
Amends the provision governing rural health clinics reimbursements in order to implement a payment methodology for long-acting reversible contraceptive devices outside of the prospective payment system rates.
July 10, 2018
Amends the provisions governing outpatient hospital services in order to repeal the provisions governing duration of outpatient status to remove these procedural requirements from the Louisiana Administrative Code.
July 10, 2018
Amends the provisions governing managed care for physical and behavioral health in order to allow MCOs to utilize skilled nursing facilities for members who transition from acute care hospital services as a step-down continuum of care and to align the governing authorities with current operations and practices.