• Offices & Administration
• About LDH
• LDH News

LDH News

• February 13, 2017

  Outpatient Hospital Services - Non-Rural, Non-State Hospitals and Children’s Specialty Hospitals - Reimbursement Rate Increase LAC 50:V.5313, 5317, 5513, 5517, 5713, 5719, 6115 and 6119

  Continues the provisions of the January 1, 2017 Emergency Rule which amended the provisions governing the reimbursement methodology for outpatient hospital services in order to increase the Medicaid reimbursement rate paid to non-rural, non-state hospitals and children’s specialty hospitals in compliance with the requirements of House Concurrent Resolution (HCR) 51 of the 2016 Regular Session of the Louisiana Legislature.

• February 13, 2017

  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Reimbursement Rate Increase LAC 50:V.Chapter 9

  Continues the provisions of the January 1, 2017 Emergency Rule which amended the provisions governing the reimbursement methodology for inpatient hospital services to increase the Medicaid reimbursement rate paid to non-rural, non-state hospitals in compliance with the requirements of House Concurrent Resolution (HCR) 51 of the 2016 Regular Session of the Louisiana Legislature.

• February 13, 2017

  Family Planning Waiver - Program Termination LAC 50:XXII.Chapters 21-27

  Repeals the provisions governing the Family Planning Waiver due to the expiration of the §1115 waiver authority on December 31, 2014.

• February 13, 2017

  Disproportionate Share Hospital Payments - Qualifying Criteria LAC 50:V.2503

  Amends the provisions governing disproportionate share hospital payments in order to make technical revisions to ensure that the provisions governing the qualifying criteria are appropriately formatted in a clear and concise manner in the Louisiana Administrative Code.

• February 13, 2017

  Disproportionate Share Hospital Payments - Louisiana Low-Income Academic Hospitals - Payment Methodology LAC 50:V.3103

  Amends the provisions governing the reimbursement methodology for disproportionate share hospital payments to Louisiana low-income academic hospitals in order to revise the reimbursement schedule from annual to quarterly payments.

• February 13, 2017

  Ambulatory Surgical Centers - Licensing Standards LAC 48:I.Chapter 45

  Repeals and replaces the licensing standards governing ambulatory surgical centers in order to: 1) clarify the existing provisions; 2) provide for inactivation of the provider license in the event of specific qualifying events or circumstances; 3) establish provisions which allow ambulatory surgical centers to enter into use agreements; and 4) ensure consistency with other licensing rules, regulations and processes.

• January 11, 2017

  Pharmacy Benefits Management Program LAC 50:XXIX.Chapters 1-9

  Amends the provisions governing the reimbursement methodology in the Pharmacy Benefits Management Program in order to clarify requirements regarding 340B-covered entities, and to revise the reimbursement methodology to include federal upper limits (FUL), new copayment exemptions and over-the-counter medications added for expansion benefits pursuant to U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) recently released regulations.

• January 11, 2017

  Medicaid Eligibility - Louisiana Health Insurance Premium Payment Program LAC 50:III.2311

  Reinstates the Louisiana Health Insurance Premium Payment Program (LaHIPP) in order to reduce Medicaid costs by establishing or maintaining a third party resource as the primary payer of the Medicaid recipient’s medical expenses.

• January 11, 2017

  Managed Care for Physical and Behavioral Health - Louisiana Health Insurance Premium Payment Program LAC 50:I.3103

  Amends the provisions governing managed care for physical and behavioral health in order to exclude Louisiana Health Insurance Premium Payment Program (LaHIPP) participants from participation in managed care for physical and behavioral health.

• January 11, 2017

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

  Continues the provisions of the August 1, 2015 and July 20, 2016 Emergency Rules which amended the provisions governing the reimbursement methodology for intermediate care facilities for persons with intellectual disabilities (ICFs/ID) in order to adopt provisions to establish supplemental Medicaid payments for services provided to Medicaid recipients residing in privately-owned facilities that enter into a cooperative endeavor agreement with the department and established upper payment limits for supplemental payments to private intermediate care facilities entering into a cooperative endeavor agreement with the department.

• December 12, 2016

  Personal Care Services – Long-Term - Standards for Participation - Electronic Visit Verification LAC 50:XV.12909

  Continues the provisions of the April 1, 2015 Emergency Rule which adopted provisions governing long-term personal care services (LT-PCS) which mandated that providers must utilize the electronic visit verification system designated by the department for automated scheduling, time and attendance tracking, and billing for LT-PCS.

• December 12, 2016

  Nursing Facilities - Reimbursement Methodology LAC 50:Chapter 200

  Continues the provisions of the January 1, 2017 Emergency Rule which amended the provisions governing the reimbursement methodology for nursing facilities to change the method for nursing facility rate setting from a point-in-time method to a time-weighted method, and to made technical changes to these provisions to incorporate language from the currently approved Medicaid State Plan.