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Amends the provisions governing the licensing of nursing facilities in order to align reporting requirements for state licensed nursing facilities with national requirements and provide standardized information to assist with national surveillance on the status of Coronavirus Disease 2019 (COVID-19) in all nursing facilities.
Amends the provisions governing the counting of resources in determining eligibility for the Qualified Disabled and Working Individual Program in order to align the administrative Rule with the current Medicaid State Plan and Centers for Medicare and Medicaid Services regulations.
Amends the provisions governing reimbursement for end stage renal disease (ESRD) facilities in order to allow contracted independent laboratories to bill the Medicaid program directly for the provision of covered non-routine laboratory services instead of receiving reimbursement from the ESRD facility.
Amends the provisions governing the dental benefits prepaid ambulatory health plan in order to allow for more than one dental benefits plan manager to service Medicaid enrollees and to allow for the department to contract with a vendor for enrollment broker services for member enrollment into one of the available plans.
Adopts provisions governing reimbursement outside of the inpatient hospital per diem for donor human breast milk provided to hospitalized premature newborns in order to ensure access to an effective treatment to reduce the incidence of severe complications.
Amends the provisions governing tobacco cessation counseling for pregnant women in order to allow additional sessions in excess of established service limits when deemed medically necessary.
Continues the provisions of the March 23, 2020 Emergency Rule which amended the provisions governing the dental benefits prepaid ambulatory health plan in order to increase reimbursement rates for dental exams for children under three years of age and restorative dental services, in compliance with Act 10 of the 2019 Regular Session of the Louisiana Legislature.
Amends the provisions governing children and adult mental health services in order to update the Rule language to reflect current terminology and practices and to change the treatment plan review requirement.
Amends the provisions governing the facility need review (FNR) process in order to allow the department to approve a one-time partial relocation/transfer of a nursing facility’s Medicaid FNR approvals to another licensed, certified, and operational nursing facility within the same parish under certain conditions.
Amends the provisions governing the licensing of hospitals in order to allow an exception to the requirement that the level of care on the neonatal intensive care unit match or exceed the level of obstetrical care for each level of obstetric service for any hospital which has a current cooperative endeavor agreement linking the hospital to a public–private partnership with the state.
Adopts provisions governing routine care for recipients in clinical trials in order to clarify the requirements for reimbursement for medically necessary non-experimental/investigational treatments that recipients participating in clinical trials would otherwise receive under the Louisiana Medicaid program.
Amends the provisions governing telemedicine in order to clarify that there are no limitations as to the telemedicine originating site.