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Continues the provisions of the July 1, 2023 Emergency Rule, which amended the provisions governing rural health clinics (RHCs) in order to remove the cutoff date to allow existing RHCs licensed as small rural hospital outpatient departments after July 1, 2007 and new RHCs to be reimbursed at 110 percent of cost.
Continues the provisions of the July 1, 2023 Emergency Rule, which amended the provisions governing outpatient hospital services in order to establish quarterly supplemental payments for certain public non-state small rural hospitals located in administrative region 3 that render qualifying services during the quarter.
Adopts provisions governing the licensing of nurse staffing agencies, in compliance with Act 577 of the 2022 Regular Session of the Louisiana Legislature.
Amends the provisions governing Medicaid eligibility for former foster care children who turned 18 on or after January 1, 2023, in order to remove the requirement that the individuals not be eligible under another mandatory group and to extend coverage to those who aged out of foster care in another state, as long as they otherwise meet the eligibility requirements for the former foster care children group.
Amends the provisions governing managed care for physical and behavioral health in order to further clarify the reimbursement methodology currently in use for federally qualified health centers and rural health clinics.
Continues the provisions of the June 9, 2023 Emergency Rule, which amended the provisions governing the Residential Options Waiver self-direction initiative in order to remove specific requirements for employees of beneficiaries in the self-direction service option and stipulate that these providers must meet the qualifications for furnishing personal care services as set forth in LAC 48:I.Chapter 92.
Continues the provisions of the June 9, 2023 Emergency Rule, which amended the provisions governing the Community Choices Waiver self-direction initiative in order to remove the specific age requirement for employees under the self-direction service option and stipulate that these providers must meet the minimum age requirement per LAC 48:I.Chapter 92.
Continues the provisions of the June 9, 2023 Emergency Rule which amended the provisions governing facility need review approvals of licensed and Medicaid certified facility beds in order to prevent the expiration of approvals for nursing facilities, intermediate care facilities for persons with developmental disabilities, and adult residential care providers with inactivated licenses as a result of an executive order or proclamation of emergency or disaster issued in accordance with R.S. 29:724 or 29:766.
Amends the provisions governing Health Services for American Indians in order to align the on-site requirements for physicians in tribally operated 638 facilities with the regulations at 42 CFR 440.90 and §1905(a)(9) of the Social Security Act.
Continues the provisions of the July 1, 2023 Emergency Rule which amended the provisions governing managed care for physical and behavioral health in order to align the medical loss ratio period for the dental benefit plan manager and the Healthy Louisiana managed care organizations with the capitation rating period for the purposes of required reporting, in compliance with 42 CFR 438.74.
Continues the provisions of the May 12, 2023 Emergency Rule which adopted provisions in the Professional Services Program to continue to provide reimbursement for physician directed treatment-in-place ambulance services after the Coronavirus Disease 2019 (COVID-19) public health emergency ended on May 11, 2023.
Continues the provisions of the July 1, 2023 Emergency Rule which amended the provisions governing reimbursement in the Medical Transportation Program in order to align the reimbursement rates established for emergency ambulance services and providers with current practice for Medicaid managed care and fee-for-service in compliance with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirement to transition from the Full Medicaid Pricing program to an approved federal supplemental payment program.