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Amends the provisions governing extended services for pregnant women in order to implement tobacco cessation services mandated by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services and remove outdated references to the Louisiana Health Assessment Referral and Treatment (LaHART) program.
Amends the provisions governing the home and community-based behavioral health services waiver to specify discharge criteria for the Coordinated System of Care (CSoC) program which aligns with federal regulations and current practices, since the current administrative Rule does not address the authority to discharge participants who no longer meet CSoC waiver eligibility requirements.
Amends the reimbursement methodology for federally qualified health centers in order to repeal the provisions of the December 20, 2018 Rule, which allowed a separate payment outside of the prospective payment system rate for mammography screening and diagnosis services, due to the disapproval of the corresponding State Plan Amendment by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Adopts provisions governing medication-assisted opioid use disorder (OUD) treatment in Opioid Treatment Programs, for Medicaid-eligible recipients ages 18 and over, diagnosed with OUD.
Adopts provisions governing reimbursement to non-state intermediate care facilities for individuals with intellectual disabilities to allow one-time, lump sum payments from the dedicated program funding pool in compliance with Act 50 of the 2019 Regular Session of the Louisiana Legislature.
Amends the provisions governing reimbursement for intermediate care facilities for individuals with intellectual disabilities in order to correct an invalid citation in the direct care floor language and ensure that these provisions are appropriately promulgated in the Louisiana Administrative Code.
Amends the provisions governing Medicaid eligibility for modified adjusted gross income (MAGI) groups and income factors in order to clarify and align these provisions with current Federal regulations relative to the calculation of household income.
Amends the provisions governing the licensing of individuals certified by the department to administer medications to nursing facility residents, medication attendants certified (MACs), in order to revise and update the MAC training and certification requirements.
Amends the provisions governing the Pharmacy Benefits Management Program in order to allow notation of the medical necessity of brand drugs using electronic prescriptions, to allow the state to pursue outcomes-based agreements with manufacturers, and to align the provisions with the current Medicaid State Plan.
Amends the provisions governing the reimbursement methodology for inpatient hospital services in order to adjust the reimbursement rates in compliance with House Concurrent Resolution 5 of the 2019 Regular Session of the Louisiana Legislature.
Amends the provisions governing the reimbursement methodology for outpatient hospital services in order to adjust the reimbursement rates in compliance with House Concurrent Resolution 5 of the 2019 Regular Session of the Louisiana Legislature.
Amends the provisions governing financial eligibility in the Medical Assistance Program in order to disregard all resources of aged, blind and disabled individuals in all MSP eligibility determinations.