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Continues the provisions of the September 11, 2023 Emergency Rule, which amended the July 1, 2023 Emergency Rule promulgated to comply with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirement that reimbursement for emergency ambulance services transition from the Full Medicaid Pricing program to an approved federal supplemental payment program.
Adopts provisions governing incurred medical and remedial care expenses in the determination of financial eligibility for the Medical Assistance Program in order to deduct expenses incurred for necessary medical and remedial care, subject to the reasonable limits, from the individual’s income when calculating patient liability to an institution and to limit the time institutions have to report these expenses, in compliance with 42 C.F.R. Part 435 Subparts H and I.
Amends the provisions governing nursing recruitment and retention payments in the Home Health Program as a result of the decision by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services to continue to provide funding under the American Rescue Plan Act of 2021 through March 2025.
Amends the provisions governing the Supports Waiver to: 1) add specialized medical equipment and supplies (incontinence supplies) and community life engagement development as services, and transportation as a separate service; 2) add reimbursement for each new service; and 3) allow prevocational services to be delivered virtually in order to align the administrative Rule with the waiver application approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Amends the provisions governing the home and community-based behavioral health services waiver in order to clarify the criteria for discharge from the Coordinated System of Care program and ensure that members are aware that their failure to cooperate in the re-evaluation assessment will result in discharge from the waiver program.
Repeals and replaces the provisions of LAC 48:I.Chapter 125 governing facility need review in its entirety in order to re-promulgate these provisions in compliance with Act 531 of the 2022 Regular Session of the Louisiana Legislature and to include requirements for Opioid Treatment Program need and application reviews.
Repeals professional service Rules which were promulgated prior to implementation of the Louisiana Administrative Code codification system, as it has been determined that the provisions of these uncodified Rules are obsolete or are procedural requirements that are included in the provider manual and should be repealed.
Amends the provisions governing targeted case management (TCM) under the New Opportunities Waiver, early and periodic screening, diagnosis and treatment, and the EarlySteps Program in order to clarify language and ensure the requirements for TCM services are accurately reflected throughout the administrative Rule.
Amends the provisions governing the Pharmacy Benefit Management Program in order to remove references to specific over the counter drugs from the Louisiana Administrative Code to align the administrative Rule with the Medicaid State Plan, as a result of guidance from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
Amends the provisions governing the licensing of nursing facilities to reflect the department’s option to revoke or deny renewal of the license of a facility that has received a letter of rejection of its emergency preparedness plan and to amend the provisions governing visitation by clergy, immediate family members and other designated persons during a declared public health emergency, in compliance with Acts 3 and 367 of the 2023 Regular Session of the Louisiana Legislature.
Amends the provisions governing the Nurse Aide Training and Competency Evaluation Program in order to update the qualifications for certified nurse aides to allow certification of individuals who have successfully completed a semester of a registered or practical nursing program, which includes a course on foundational nursing skills, to take an approved nurse aide competency evaluation examination and to update the registration requirements for the Louisiana Certified Nurse Aide Registry, in compliance with Act 80 of the 2023 Regular Session of the Louisiana Legislature.
Continues the provisions of the August 1, 2023 Emergency Rule, which adopted provisions in the Professional Services Program governing reimbursement for services provided by licensed midwives and certified nurse midwives and amended the provisions governing free-standing birthing centers to increase the reimbursement rate for services rendered by these providers, in compliance with Act 207 of the 2023 Regular Session of the Louisiana Legislature.