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Amends the provisions governing managed care for physical and behavioral health in order to include applied behavior analysis-based therapy in the specialized behavioral health services the managed care organizations that participate in the Healthy Louisiana program are required to provide.
Amends the provisions governing leave of absence days for intermediate care facilities for persons with intellectual disabilities in order to exclude bereavement days for close family members from the annual limit.
Continues the provisions of the October 1, 2017 Emergency Rule which amended the provisions governing reimbursement for public facilities in order to extend the period of transitional rates for large facilities that provide continuous nursing coverage to medically fragile populations for an additional year.
Continues the provisions of the August 5, 2017 and October 20, 2017 Emergency Rules which amended the provisions governing inpatient hospital services in order to clarify the legislatively mandated requirements for Office of Public Health newborn screenings.
Amends the provisions governing home health services in order to comply with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services regulations requiring face-to-face encounters, to clarify the provisions governing home health services settings, and to remove the visit limit for adult recipients in order to align services with those received by the Medicaid expansion population.
Amends the reimbursement methodology for outpatient hospital services to increase the reimbursement rates paid to non-rural, non-state hospitals and children’s specialty hospitals in compliance with House Concurrent Resolution (HCR) 8 of the 2017 Regular Session of the Louisiana Legislature.
Amends the provisions governing Express Lane Eligibility in order to remove certain agencies from the eligibility determinations process to comply with the requirements of the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Amends the provisions governing the reimbursement methodology for inpatient hospital services to increase the Medicaid reimbursement rates paid to qualifying non-rural, non-state hospitals and to establish provisions for reimbursement to free-standing rehabilitation hospitals in compliance with the requirements of House Concurrent Resolution (HCR) 8 of the 2017 Regular Session of the Louisiana Legislature.
Amends the provisions governing the Supports Waiver in order to implement a tiered waiver allocation process which establishes one Request for Services Registry for all OCDD waivers and is centered on needs-based assessments and person-centered planning.
Amends the provisions governing the Residential Options Waiver (ROW) in order to: 1) implement a tiered waiver allocation process which establishes one Request for Services Registry for all OCDD waivers; 2) allow a one-time transfer of individuals with an OCDD statement of approval to be transitioned from OAAS’s Community Choices Waiver and Adult Day Healthcare Waiver wait list to the OCDD wait list; 3) change the entrance age requirement; 4) clarify priority groups; and 5) change the rate methodology for support coordination service from a unit rate to monthly flat rate billing.
Amends the provisions governing the New Opportunities Waiver (NOW) in order to: 1) implement a tiered waiver allocation process which establishes one Request for Services Registry for all OCDD waivers and is centered on needs-based assessments and person-centered planning; 2) change the participant age requirement; 3) address and define priority groups; 4) require that a NOW opportunity be allocated only when other OCDD Waivers will not support the participant; 5) eliminate the inactive status for NOW registry; and 6) eliminate reserve capacity groups.
Amends the provisions governing the Children’s Choice Waiver in order to: 1) implement a tiered waiver allocation process which establishes one Request for Services Registry for all OCDD waivers and is centered on needs-based assessments; and 2) increase the age of the participant to 21.