RULEMAKING: Medicaid - Notices of Intent

January 08, 2021
Amends the provisions governing the Professional Services Program in order to remove information related to programs no longer in operation, remove provisions that are located in other places within the Louisiana Administrative Code, clarify the reimbursement methodology for certain providers and services, and to provide for a rate restoration related to neonatal critical care services.
January 08, 2021
Amends the provisions governing the reimbursement methodology for nursing facilities in order to remove a facility that is no longer owned or operated by a non-state governmental organization (NSGO) from the list of NSGO facilities qualified to receive quarterly upper payment limit supplemental payments.
January 08, 2021
Amends the provisions governing the facility need review (FNR) process in order to allow the department to approve a temporary relocation/transfer of a nursing facility’s Medicaid FNR approvals to another licensed, certified and operational nursing facility outside of the service area or parish while awaiting the completion of a replacement nursing facility building.
January 08, 2021
Amends the provisions governing licensing standards for crisis receiving centers (CRCs) in order to clarify the language in the administrative Rule and add provisions for emergency preparedness and infection control, optional participation in the Patient Compensation Fund, physical environment requirements, and inactivation of the CRC license due to a non-declared emergency or disaster.
December 11, 2020
Amends the standards for payment for nursing facilities in order to clarify the provisions governing non-emergency transportation for medical appointments.
December 11, 2020
Amends the provisions governing provider enrollment in the non-emergency medical transportation (NEMT) program to increase the minimum liability insurance for providers of transportation to out-of-state medical or behavioral health services in order to comply with the federal requirements for interstate NEMT travel.
December 11, 2020
Continues the provisions of the August 25, 2020 Emergency Rule which amended the provisions governing reimbursement for non-state intermediate care facilities for persons with intellectual disabilities in order to increase the rate reimbursement rates to facilities that downsized from over 100 beds to less than 35 beds prior to December 31, 2010 without the benefit of a cooperative endeavor agreement, in compliance with Act 1 of the 2020 First Extraordinary Session of the Louisiana Legislature.
December 11, 2020
Amends the provisions governing the payment methodology for the dental benefits prepaid ambulatory health plan in order to allow the state to reimburse monthly capitation payments to the dental benefits plan manager (DBPM) in the aggregate on a lump sum basis when necessary, and to require DBPMs to submit medical loss ratio data to the state and issue a refund if minimum standards are not met.
November 10, 2020
Amends the provisions governing laboratory and radiology services in order to ensure that the existing language reflects current practices, remove coding and billing instructions and other extraneous information from the administrative Rule, and promulgate these provisions clearly and accurately in the Louisiana Administrative Code.
October 10, 2020
Amends the provisions governing rural health clinics to ensure the language reflects current practices and is promulgated clearly and accurately in the Louisiana Administrative Code and to remove procedural language from the administrative Rule.
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