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Hospital Licensing Standards LAC 48:I.9319, 9381 and 9405
Amends the provisions governing hospital licensing standards in order to comply with Acts 351 and 415 of the 2016 Regular Session of the Louisiana Legislature.
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Nursing Facilities - Reimbursement Methodology - Pass Through Rate Increase LAC 50:II.20005
Continues the provisions of the September 1, 2016 Emergency Rule which amended the provisions governing nursing facilities reimbursement to include the provider fee increase in the nursing facility pass through rate.
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Pediatric Day Health Care Facilities - Licensing Standards LAC 48:I.5239
Continues the provisions of the September 1, 2016 Emergency Rule which amended the licensing standards governing pediatric day health care facilities in order to clarify the provider participation requirements regarding plans of care.
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Pediatric Day Health Care Program LAC 50:XV.27501, 27503, 27901 and 28101
Continues the provisions of the September 1, 2016 Emergency Rule which amended the provisions governing pediatric day health care services in order to clarify these provisions and revise the recipient criteria and reimbursement methodology.
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Forensic Supervised Transitional Residential and Aftercare Facilities – Licensing Standards LAC 48:I.Chapters 72
Repeals and replaces the provisions governing Forensic Supervised Transitional Residential and Aftercare (FSTRA) facilities licensing standards to include language related to the culture change movement in nursing facilities, to update language to be consistent with licensing and enforcement processes, and to be more concise in providing regulatory information to providers and the public.
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Healthcare Services Provider Fees - Nursing Facility Services Providers LAC 48:I.4001
Continues the provisions of the September 1, 2016 Emergency Rule which amended the provisions governing provider fees in order to increase the limit of the provider fee for nursing facilities.
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Home and Community-Based Services Waivers - Adult Day Health Care Waiver - Electronic Visit Verification LAC 50:XXI.2705
Continues the provisions of the November 1, 2015 Emergency Rule, which amended the provisions governing the Adult Day Health Care (ADHC) Waiver in order to adopt requirements which mandate that providers of personal assistant services must utilize the electronic visit verification (EVV) system designated by the department for automated scheduling, time and attendance tracking, and billing for certain home and community-based services.
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Healthcare Services Provider Fees – Emergency Ambulance Service Providers (LAC 48:I.4001, 4003 and 4007)
Continues the provision of the August 1, 2016 Emergency Rule which amended the provisions governing provider fees for certain health care services in order to implement a provider fee assessment for qualifying emergency ground ambulance service providers.
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Healthcare Services Provider Fees – Hospital Fee Assessments (LAC 48:I.4001)
Amends the provisions governing provider fees to establish hospital assessment fees and related matters as directed by House Concurrent Resolution 51 (HCR 51) of the 2016 Regular Session of the Louisiana Legislature.
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Medicaid Eligibility – Medically Needy Program (LAC 50:III.2313)
Continues the provisions of the August 20, 2016 Emergency Rule which amended the provisions of the September 20, 2015 Emergency Rule governing the Medically Needy Program coverage in order to remove references to behavioral health services provided through the Louisiana Behavioral Health Partnership to recipients that qualified for the program under the terminated 1915(i) State Plan authority.
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Nursing Facilities – Licensing Standards (LAC 48:I.Chapters 97-99)
Repeals and replaces the licensing standards governing nursing facilities in its entirety and repromulgate these provisions in order to include provisions related to the culture change movement in nursing facilities and to incorporate these provisions under a single comprehensive Rule in Part I, Title 48 of the Louisiana Administrative Code.
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Medical Transportation Program – Emergency Ambulance Services – Enhanced Reimbursements
Continues the provisions of the August 1, 2016 Emergency Rule which adopted provisions to establish enhanced Medicaid reimbursements through the Supplemental Payment Program for qualifying emergency ground ambulance service providers.