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Repeals Rules governing Medicare Part A claims for inpatient hospital services that were promulgated prior to implementation of the Louisiana Administrative Code (LAC) codification system and adopts LAC 50:V.Chapter 23 in order to ensure that these provisions are appropriately promulgated in a codified format for inclusion in the LAC.
Continues the provisions of the March 7, 2023 Emergency Rule, which amended the provisions governing the licensing of hospitals in order to add an exemption to the primarily engaged requirements for rural emergency hospitals and adopt provisions for their designation and certification in order to allow rural hospitals with less than 50 beds to temporarily convert to rural emergency hospitals.
Amends the provisions governing reimbursement for hospice services in order to ensure that the current payment methodology is accurately reflected in the Louisiana Administrative Code and aligns with the Medicaid State Plan changes required by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS).
Adopts provisions in the Healthy Louisiana and Coordinated System of Care Waiver governing directed payments for fee schedule and value-based payment arrangement for providers of behavioral health and home and community-based services and the grievance and appeal process for these providers.
Amends the provisions governing healthcare facility sanctions in order to establish duties and requirements addressing workplace violence and to add and update definitions.
Amends the provisions governing reimbursement for federally qualified health centers in order to establish an alternative payment methodology to pay an add-on amount of $30 per encounter in addition to the prospective payment system rate on file for the date of service.
Continues the provisions of the March 10, 2023 Emergency Rule, which amended the provisions governing dental services in the Early and Periodic Screening, Diagnosis and Treatment Program to align the reimbursement rates to the Louisiana Medicaid fee schedule in order to maintain or enhance funding to dental providers.
Continues the provisions of the March 10, 2023 Emergency Rule, which amended the provisions governing adult denture services to align the reimbursement rates to the Louisiana Medicaid fee schedule in order to maintain or enhance funding to dental providers.
Adopts provisions in the Professional Services Program in order to expand coverage for tobacco cessation counseling services to all Medicaid beneficiaries.
Continues the provisions of the February 20, 2023 Emergency Rule which amended the provisions governing the licensing of hospitals in order to update the process for granting waivers to building and construction guidelines or requirements and to update provisions governing the clinical operation of hospitals.
Amends the provisions governing the resource assessment and allocation process in the Community Choices Waiver in order to update the language regarding interRAI assessments.
Amends the provisions governing the dental benefits prepaid ambulatory health plan in order to remove language that allows for a retainage of funds from the per member, per month capitation payment to the dental benefit plan manager (DBPM) as surety for performance under the contract, since funds are withheld under the current DBPM contract for specific penalties.