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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.
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.
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.
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.
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.
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.
Amends the provisions governing facility need review approvals of licensed and Medicaid certified facility beds in order to prevent the expiration of approvals for nursing facilities, intermediate care facilities for persons with developmental disabilities, and adult residential care providers with inactivated licenses as a result of an executive order or proclamation of emergency or disaster issued in accordance with R.S. 29:724 or 29:766.
Amends the provisions governing directed payments to qualifying hospitals that participate in the Healthy Louisiana Program and contract with the Medicaid managed care organizations in order to reserve the right to discontinue interim directed payments to any hospital whose projected recoupment is greater than 50 percent or who discontinues operations during or prior to the directed payment contract period. .
Amends LAC 50:XV.Subpart 7 and XXI.Subparts 5, 9, 11, and 13 in order to temporarily extend allowances for early and periodic screening, diagnosis and treatment targeted case management services and flexibilities for certain home and community-based services waivers beyond the May 11, 2023 end of the Coronavirus Disease 2019 (COVID-19) public health emergency, as permitted by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Adopts provisions in the Professional Services Program to continue to provide reimbursement for physician directed treatment-in-place ambulance services after the Coronavirus Disease 2019 (COVID-19) public health emergency ends on May 11, 2023.
Amends LAC 50:XV.Subpart 9 and XXI.Subparts 3 and 7 in order to temporarily extend long term-personal care services and flexibilities for certain home and community-based services waivers after the Coronavirus Disease 2019 (COVID-19) public health emergency beyond the May 11, 2023 end of the Coronavirus Disease 2019 (COVID-19) public health emergency, as permitted by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Amends 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, in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements.