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Continues the provisions of the October 1, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for ICFs/ID to establish reimbursement for complex care services provided to Medicaid recipients residing in non-state ICFs/ID.
Continues the provisions of the October 4, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for inpatient hospital services rendered by children’s specialty hospitals to revise the reimbursement methodology and establish outlier payment provisions.
Continues the provisions of the December 1, 2015 Emergency Rule which amended the provisions governing adult mental health services in order to: 1) provide Medicaid coverage and reimbursement for licensed mental health professional services and mental health rehabilitative services to adult members enrolled in Bayou Health and terminate the behavioral health services rendered under the 1915(i) State Plan authority; 2) establish the recipient qualifications criteria; and 3) revise the assessment and plan of care requirements.
Continues the provisions of the provisions of the September 20, 2014 Emergency Rule which amended the provisions of the May 24, 2014 Emergency Rule to clarify the provisions governing the payment methodology to Louisiana Low-Income Academic Hospitals.
Continues the provisions of the October 20, 2015 Emergency Rule which amended the provisions of the July 1, 2015 Emergency Rule in order to correct the formatting of §12503 as a result of the promulgation of a January 20, 2015 Rule governing the FNR process.
Amends the provisions governing the Residential Options Waiver (ROW) to create a reserved capacity group to allow individuals with developmental disabilities who receive services in the Community Choices Waiver or the Adult Day Health Care Waiver programs to transition into the ROW.
Amends the provisions governing the reimbursement methodology for nursing facilities in order to establish supplemental Medicaid payments for qualifying nursing facilities, owned or operated by a non-state governmental organization (NSGO), that have entered into an agreement with the department to participate.
Continues the provisions of the October 1, 2015 emergency rule which amended the provisions governing disproportionate share hospital (DSH) payments to reduce DSH payments to qualifying hospitals for inpatient psychiatric services.
Continues the provisions of the September 20, 2015 emergency rule which amended the provisions governing the Facility Need Review (FNR) program in order to provide a process for supplementing an FNR application that has been denied prior to appeal, provide time frames within which home and community-based service providers must become licensed after they have been approved through the FNR process and amend the provisions governing the FNR process for nursing facilities relative the statutory moratorium.
Amends the provisions governing federally qualified health center service limits in order to remove the 12 visits per year limit for Medicaid recipients 21 years of age and older.
Continues the provisions of the November 20, 2014 emergency rule which amended the provisions governing the licensing standards for home and community-based services providers to clarify these provisions and to include licensing provisions for monitored in-home caregiving services.
Continues the provisions of the November 20, 2014 Emergency Rule which amended the provisions governing the Community Choices Waiver in order to clarify the provisions governing monitored in-home caregiving services and to revise the provisions governing the organized health care delivery system.