Healthcare Facility Sanctions LAC 48:I.Chapter 46
Amends the provisions governing healthcare facility sanctions in order to establish duties and requirements addressing workplace violence and to add and update definitions.
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Amends the provisions governing healthcare facility sanctions in order to establish duties and requirements addressing workplace violence and to add and update definitions.
Amends the provisions governing reimbursement for federally qualified health centers in order to establish an alternative payment methodology to pay an add-on amount of $30 per encounter in addition to the prospective payment system rate on file for the date of service.
Continues the provisions of the March 10, 2023 Emergency Rule, which amended the provisions governing dental services in the Early and Periodic Screening, Diagnosis and Treatment Program to align the reimbursement rates to the Louisiana Medicaid fee schedule in order to maintain or enhance funding to dental providers.
Continues the provisions of the March 10, 2023 Emergency Rule, which amended the provisions governing adult denture services to align the reimbursement rates to the Louisiana Medicaid fee schedule in order to maintain or enhance funding to dental providers.
Adopts provisions in the Professional Services Program in order to expand coverage for tobacco cessation counseling services to all Medicaid beneficiaries.
Continues the provisions of the February 20, 2023 Emergency Rule which amended the provisions governing the licensing of hospitals in order to update the process for granting waivers to building and construction guidelines or requirements and to update provisions governing the clinical operation of hospitals.
Amends the provisions governing the resource assessment and allocation process in the Community Choices Waiver in order to update the language regarding interRAI assessments.
Amends the provisions governing the dental benefits prepaid ambulatory health plan in order to remove language that allows for a retainage of funds from the per member, per month capitation payment to the dental benefit plan manager (DBPM) as surety for performance under the contract, since funds are withheld under the current DBPM contract for specific penalties.
Amends the provisions governing long term-personal care services (LT-PCS) in order to update and remove obsolete terminology to reflect the current assessment tool used to determine LT-PCS eligibility, and to ensure that consistent language is used throughout the administrative Rule.
Continues the provisions of the January 1, 2023 Emergency Rule which amended the provisions governing financial eligibility in the Medical Assistance Program in order to disregard unspent funds received by settlement class members in the case of Nancy Anderson, et al. v. Bob Dean Jr., et al., 24th Judicial District Court, Parish of Jefferson, No. 820-839 from resources.
Continues the provisions of the January 20, 2023 Emergency Rule which adopted provisions in the Medical Transportation Program in order to establish guidelines for the administration and distribution of American Rescue Plan Act bonus payment funds to eligible non-emergency medical transportation providers.
Amends the provisions governing the Home Health Program in order to add nurse practitioners, clinical nurse specialists, and physician assistants as healthcare providers authorized to order home health services in compliance with Act 181 of the 2021 Regular Session of the Louisiana Legislature, repeal emergency provisions that are no longer applicable as a result of this change, and modify the locations in which home health services may be provided to be consistent with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) requirements.