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LDH News

• July 11, 2023

  Home and Community-Based Services Waivers – Residential Options Waiver – Self-Direction Initiative LAC 50:XXI.16501

  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.

• July 11, 2023

  Home and Community-Based Services Waivers – Community Choices Waiver – Self-Direction Initiative LAC 50:XXI.8501

  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.

• July 11, 2023

  Facility Need Review - Exception Criteria for Bed Approvals LAC 48:I.12533

  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.

• July 11, 2023

  Health Services for American Indians - 638 Facilities LAC 50:XV.20301

  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.

• July 11, 2023

  Dental Benefit Plan Manager and Healthy Louisiana Managed Care Organizations Medical Loss Ratio LAC 50:I.2111 and 3509

  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.

• June 09, 2023

  Professional Services Program – Physician Directed Treatment-In-Place Ambulance Services LAC 50:IX.Chapter 13

  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.

• June 09, 2023

  Medical Transportation Program – Emergency Medical Transportation LAC 50:XXVII.Chapter 3

  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.

• June 09, 2023

  Managed Care for Physical and Behavioral Health – Hospital Directed Payments LAC 50:I.3113

  Continues the provisions of the May 15, 2023 Emergency Rule which amends the provisions governing directed payments in order to reserve the right to discontinue interim directed payments to any hospital whose projected recoupment is greater than 50 percent or who discontinues operations during or prior to the directed payment contract period.

• June 09, 2023

  Inpatient Hospital Services – Out-of-State Hospitals LAC 50:V.Chapter 24

  Adopts provisions governing medically necessary inpatient services furnished to Louisiana Medicaid beneficiaries by out-of-state hospitals in order to align the reimbursement rates for those services with current in-state inpatient per diem rates for like hospitals/services.

• June 09, 2023

  Home and Community-Based Services Waivers – Fiscal Employer Agent Standards for Participation LAC 50:XXI.Chapter 11

  Adopts provisions establishing the standards for participation for fiscal employer agents that provide financial management services for self-directed home and community-based waiver services administered by the Office of Aging and Adult Services and the Office for Citizens with Developmental Disabilities.

• June 09, 2023

  Healthcare Services Provider Fees – Emergency Ground Ambulance Service Providers LAC 48:I.4001

  Continues the provisions of the July 1, 2023 Emergency Rule which amended the provisions governing provider fees for emergency ground ambulance services in order to ensure that the language in the administrative rule reflects the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirement that reimbursement for these services transition from the Full Medicaid Pricing program to an approved federal supplemental payment program.

• June 09, 2023

  Direct Service Worker Registry LAC 48:I.9231

  Amends the provisions governing the Direct Service Worker (DSW) Registry to ensure that prior to hiring a DSW or trainee, the licensed and/or certified health care provider ensures that the individuals are at least 18 years of age or that the individuals are at least 16 years of age and have received an age restriction exception from the Office for Citizens with Developmental Disabilities or the Office of Aging and Adult Services.