RULEMAKING: Medicaid - Emergency Rules

November 13, 2023
Amends the provisions of the May 12, 2023 Emergency Rule which extended provisions for long term-personal care services and certain home and community-based services waivers which were relaxed throughout the duration of the Coronavirus Disease 2019 (COVID-19) public health emergency in order to continue provisions and/or options under the Adult Day Health Care Waiver beyond the original extension date.
October 13, 2023
Amends the provisions in the Medical Transportation Program governing American Rescue Plan Act (ARPA) bonus payments to providers of non-emergency medical transportation (NEMT) services in order to establish the guidelines the department will utilize to oversee the administration and distribution of ARPA bonus payment funds to eligible NEMT providers by the Medicaid managed care organizations.
September 29, 2023
Amends the provisions governing the standards for payment and reimbursement for nursing facilities in order to implement the required transition from the current resource utilization group (RUG-III/RUG-IV) case-mix classification model used under the Medicare skilled nursing facility prospective payment system to the patient driven payment model which was delayed by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) until October 1, 2023 due to the COVID-19 public health emergency and to mandate use of the optional state assessment.
September 13, 2023
Amends the July 1, 2023 Emergency Rule which amended the provisions governing reimbursement in the Medical Transportation Program in order to align the reimbursement rates established for emergency ambulance services and providers with current practice for Medicaid managed care and fee-for-service.
July 27, 2023
Adopts provisions in the Professional Services Program governing reimbursement for services provided by licensed midwives and certified nurse midwives and amends the provisions governing free-standing birthing centers to increase the reimbursement rate for services rendered by these providers, in compliance with Act 207 of the 2023 Regular Session of the Louisiana Legislature.
June 26, 2023
Amends the provisions governing rural health clinics (RHCs) in order to remove the cutoff date to allow existing RHCs licensed as small rural hospital outpatient departments after July 1, 2007 and new RHCs to be reimbursed at 110 percent of cost.
June 26, 2023
Amends the provisions governing outpatient hospital services in order to establish quarterly supplemental payments for certain public non-state small rural hospitals located in administrative region 3 that render qualifying services during the quarter.
June 26, 2023
Amends the provisions governing managed care for physical and behavioral health in order to align the medical loss ratio period for the dental benefit plan manager and the Healthy Louisiana managed care organizations with the capitation rating period for the purposes of required reporting, in compliance with 42 CFR 438.74.
June 09, 2023
Amends the provisions governing the Residential Options Waiver self-direction initiative in order to remove specific requirements for employees of beneficiaries in the self-direction service option and stipulate that these providers must meet the qualifications for furnishing personal care services as set forth in LAC 48:I.Chapter 92.
June 09, 2023
Amends the provisions governing the Community Choices Waiver self-direction initiative in order to remove the specific age requirement for employees under the self-direction service option and stipulate that these providers must meet the minimum age requirement per LAC 48:I.Chapter 92.
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