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Amends the provisions governing the Residential Options Waiver in order to clarify the reimbursement methodology, remove language that provides historical information pertaining to the rate reimbursement and revised the terminology associated with ROW reimbursements.
Amends the provisions governing the Children’s Choice Waiver in order to further clarify the reimbursement methodology, remove language that provides historical information pertaining to rate reimbursement and revise the terminology associated with Children’s Choice Waiver reimbursements.
Amends the provisions governing the Community Choices Waiver in order to further clarify the reimbursement methodology, remove language that provides historical information pertaining to the rate reimbursement and revise the terminology associated with Community Choices Waiver reimbursements.
Repeals and replaces the provisions governing recipient appeals and fair hearings in the May 20, 1996 Rule in order to update the provisions to be consistent with current operations, and to repromulgate the provisions in a clear and concise manner for inclusion in the Louisiana Administrative Code.
Adopts provisions in the Medicaid Program to: 1) expand Medicaid coverage to individuals from age 19 to 65 years old at or below 133 percent of the Federal Poverty Level with a 5 percent income disregard as provided in 42 CFR 435.119; 2) implement a Secretary-approved coverage option which incorporates the benefits and services covered under the Medicaid State Plan, including the essential health benefits as provided in §1302(b) of ACA; 3) use the Basic Blue Cross/Blue Shield Preferred Provider Option offered through the Federal Employees Health Benefit program as the state’s benchmark benefit package; and 4) establish provisions for the use of the Supplemental Nutrition Assistance Program (SNAP) option for streamlined enrollment of SNAP recipients who meet eligibility requirements for the new adult group.
Amends the provisions governing managed care for physical and behavioral health to enroll the new adult group into the Bayou Health Program.
Amends the provisions governing Medicaid eligibility to adopt provisions in the Medicaid program to expand coverage to the new adult group under the provisions of the Affordable Care Act.
Repeals the provisions governing the Greater New Orleans Community Health Connection (GNOCHC) Waiver in order to terminate this optional Medicaid program. The terms and conditions of the GNOCHC Waiver require termination of the waiver concurrent with the implementation of Medicaid coverage for the new adult group provided by the Affordable Care Act.
Continues the provisions of the April 15, 2013 Emergency Rule which amended the provisions governing reimbursement for Medicaid payments for outpatient services provided by non-state owned major teaching hospitals participating in public-private partnerships which assume the provision of services that were previously delivered and terminated or reduced by a state owned and operated facility.
Amends the provisions governing LT-PCS in order to 1) terminate the Louisiana Personal Options Program (La POP); 2) revise the eligibility requirements for shared LT-PCS; and 3) clarify the provisions governing the activities of daily living.
Amends the provisions governing cochlear devices covered under the EPSDT program in order to reduce the minimum age requirements for implantation of these devices in order to align these provisions with the national standards.
Continues the provisions of the April 15, 2013 and July 20, 2013 Emergency Rules which amended the provisions governing the reimbursement methodology for inpatient services provided by non-state owned major teaching hospitals participating in public-private partnerships which assume the provision of services that were previously delivered and terminated or reduced by a state-owned and operated facility to establish an interim per diem reimbursement.