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• May 10, 2023

  Pharmacy Benefits Management Program – Reimbursement for Clotting Factor LAC 50:XXIX.949

  Amends the provisions governing methods of payment in the Pharmacy Benefits Management Program in order to: 1) change the reimbursement methodology for clotting factor products to a state generated actual acquisition cost ingredient cost and a unit based professional dispensing fee; and 2) limit clotting factor products to pharmacy claims only, in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements.

• May 10, 2023

  Medicaid Eligibility – Twelve-Month Continuous Eligibility LAC 50:III.2525

  Amends the provisions governing eligibility for the Medical Assistance Program in order to align the exclusions to the 12-month continuous eligibility coverage period for children in the administrative Rule with the Medicaid and Children’s Health Insurance Program (CHIP) State Plans approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.

• May 10, 2023

  Inpatient Hospital Services – Well Baby and Transplant Payments LAC 50:V.Chapter 9

  Amends LAC 50:V.Chapter 9 to remove obsolete non-rural, non-state hospital provisions and to repeal uncodified inpatient hospital services rules governing Medicaid transplant services and well baby care reimbursement in order to promulgate these provisions in a codified format for inclusion in the Louisiana Administrative Code.

• May 10, 2023

  Home Health Program – Reimbursement Rate Increase LAC 50:XIII.701

  Continues the provisions of the April 3, 2023 Emergency Rule which amended the provisions governing reimbursement in the Home Health program to increase the rates for all home health services and base reimbursement on the Louisiana Medicaid fee schedule in order to align the reimbursement methodology with current practice.

• May 10, 2023

  Early and Periodic Screening, Diagnosis and Treatment – School-Based Health Services LAC 50:XV.Chapter 95

  Amends the provisions governing school-based health services in the Early and Periodic, Screening and Diagnosis and Treatment Program in order to reflect the current reimbursement methodology, include criteria for determining medical necessity, and modify service exclusion to match the 2019 program expansion provisions which will align the administrative Rule with the corresponding State Plan amendment approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.

• April 13, 2023

  Medicaid Eligibility – Disregard of Accumulated Resources LAC 50:III.10703

  Amends the provisions governing financial eligibility for Medicaid in order to disregard resources accumulated from March 18, 2020 through March 31, 2023 that, but for the continuous enrollment provision at Section 60008(b)(3) of the Families First Coronavirus Act, would have been paid toward the cost of a beneficiary’s home and community-based services waiver or institutional services.

• April 13, 2023

  Medicaid Eligibility – Act 421 Children’s Medicaid Option LAC 50:III.2331

  Amends the provisions governing Medicaid eligibility groups and programs in order to remove the requirement that an applicant be ineligible for other Medicaid services before being considered for the Act 421 Children’s Medicaid Option and to revise language regarding level of care.

• April 13, 2023

  Inpatient Hospital Services – Medicare Part A Claims for Medicaid Eligible Beneficiaries LAC 50:V.Chapter 23

  Repeals Rules governing Medicare Part A claims for inpatient hospital services that were promulgated prior to implementation of the Louisiana Administrative Code (LAC) codification system and adopts LAC 50:V.Chapter 23 in order to ensure that these provisions are appropriately promulgated in a codified format for inclusion in the LAC.

• April 13, 2023

  Hospital Licensing Standards – Rural Emergency Hospitals LAC 48:I.Chapter 93

  Continues the provisions of the March 7, 2023 Emergency Rule, which amended the provisions governing the licensing of hospitals in order to add an exemption to the primarily engaged requirements for rural emergency hospitals and adopt provisions for their designation and certification in order to allow rural hospitals with less than 50 beds to temporarily convert to rural emergency hospitals.

• April 13, 2023

  Hospice Service – Payment Methodology LAC 50:XV.4305 and 4309

  Amends the provisions governing reimbursement for hospice services in order to ensure that the current payment methodology is accurately reflected in the Louisiana Administrative Code and aligns with the Medicaid State Plan changes required by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS).

• April 13, 2023

  Healthy Louisiana and Coordinated System of Care Waiver – Behavioral Health Directed Payments LAC 50:XXXIII.503 and 703

  Adopts provisions in the Healthy Louisiana and Coordinated System of Care Waiver governing directed payments for fee schedule and value-based payment arrangement for providers of behavioral health and home and community-based services and the grievance and appeal process for these providers.

• April 13, 2023

  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.