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LDH News

• March 12, 2018

  Healthcare Services Provider Fees LAC 48:I.Chapter 40

  Amends the provisions governing healthcare services provider fees in order to revise the payment methodology for hospital and emergency ground ambulance services providers and to more closely align the provisions governing nursing facility services, intermediate care facilities for individuals with developmental disabilities, and pharmacy services with current governing authorities and ensure that they are promulgated in a clear and concise manner in the Louisiana Administrative Code.

• March 12, 2018

  Adult Behavioral Health Services LAC 50:XXXIII.Chapters 61-65

  Amends the provisions governing adult behavioral health services in order to: 1) clarify the medical necessity criteria and target population for mental health services; 2) allow for more frequent assessments and treatment plan updates based on individual needs; 3) clarify information required to ensure treatment records are comprehensive and include all necessary documents; and 4) update language and revise service authorization requirements.

• February 12, 2018

  Professional Services Program – Reimbursement Methodology – Supplemental Payments LAC 50:IX.15151 and 15153

  Amends the provisions governing the Professional Services Program to revise the reimbursement methodology for supplemental payments to physicians and other professional service practitioners in order to align these provisions with the corresponding State Plan amendment approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services and to ensure that they are promulgated in a clear and concise manner in the Louisiana Administrative Code.

• February 12, 2018

  Nursing Facilities – Admissions and Continued Stay Criteria LAC 50:II.Chapter 5

  Amends the provisions governing nursing facilities in order to revise and clarify the documentation requirements for medical certification of initial admissions and continued stay processes to ensure that these provisions are promulgated in a clear and concise manner in the Louisiana Administrative Code.

• February 09, 2018

  Medicaid Provider Screening Application Fee LAC 50:I.1501

  Amends the provisions governing the screening and enrollment of Medicaid providers in order to collect an application fee for any providers that have not already been screened by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services or another state Medicaid agency in compliance with the requirements of the Affordable Care Act and 42 CFR 455.460.

• January 12, 2018

  Therapeutic Group Homes - Licensing Standards

  Amends the provisions governing the licensing standards for therapeutic group homes (TGHs) in order to: 1) clarify and update these provisions to be consistent with the standard language used in other licensing Rules and with standard processes; 2) update the comprehensive treatment plan provisions; and 3) establish provisions for inactivation of licensure due to non-declared disasters or emergencies and for TGH residents to attend school in an alternative setting.

• January 10, 2018

  Intermediate Care Facilities for Persons with Intellectual Disabilities—Public Facilities - Reimbursement Rate Increase LAC 50:VII.32969

  Continues the provisions of the October 1, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for intermediate care facilities for persons with intellectual disabilities (ICFs/ID) in order to increase the transitional rates paid to public facilities.

• December 11, 2017

  Intermediate Care Facilities for Persons with Intellectual Disabilities - Supplemental Payments LAC 50:VII.32917

  Amends the provisions governing the reimbursement methodology for intermediate care facilities for persons with intellectual disabilities in order to repeal the provisions of the April 20, 2017 Rule, which established and set upper payment limits for supplemental Medicaid payments to private intermediate care facilities that enter into a cooperative endeavor agreement with the department, due to the withdrawal of the corresponding State Plan amendment from U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services consideration.

• December 08, 2017

  Inpatient Hospital Services - Pre-Admission Certification LAC 50:V.301

  Amends the provisions governing inpatient hospital services in order to repeal provisions requiring pre-certification, concurrent review, and length of stay assignment for admission of Medicaid recipients to non-state and state operated acute care general hospitals due to the implementation of managed care through the Healthy Louisiana program.

• December 08, 2017

  Hospice Licensing Standards LAC 48:I.Chapter 82

  Amends the provisions governing hospice licensing standards in order clarify and update these provisions to be consistent with other licensing Rules and processes and to ensure that they are promulgated in a clear and concise manner in the Louisiana Administrative Code.

• December 08, 2017

  Family Planning Services LAC 50:XV.25501

  Amends the provisions governing family planning services to remove the limitation on office visits for physical examinations for family planning and family planning-related services to align the Medicaid State Plan with the State Plan amendment governing Medicaid expansion, in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements.

• November 14, 2017

  Therapeutic Group Homes LAC 50:XXXIII.Chapters 121-127

  Amends the provisions governing therapeutic group homes (TGH) in order to: 1) reflect the coordinated system of care (CSoC) contractor moving from a non-risk contract to a full-risk capitated contract; 2) remove the requirement for the Office of Behavioral Health certification of providers; and 3) reflect that TGH are carved out of management by the CSoC contractor to align with current practice and contract requirements.