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LDH News

• February 13, 2015

  Facility Need Review (LAC 48:I.12501 and 12525)

  Amends the provisions governing the Facility Need Review Program in order to revise the definition for home and community-based service providers to include monitored in-home caregiving (MIHC) services, and to revise the provisions governing the service area for adult day health care providers.

• February 13, 2015

  Coordinated Care Network – Recipient Participation (LAC 50:I.3103)

  Continues the provisions of the July 20, 2014 Emergency Rule which amended the provisions governing the June 20, 2014 Rule to exclude Chisholm class member participation in CCNs to allow sufficient time for CCNs to amend the current contracts to meet the requirements of the Chisholm judgment.

• February 13, 2015

  Coordinated Care Network – Physician Services – Reimbursement Methodology (LAC 50:I.3307 and 3509)

  Amends the provisions of the August 20, 2014 Emergency Rule to correct an error in the formatting of these provisions.

• February 13, 2015

  Inpatient Hospital Services – Public-Private Partnerships – Reimbursement Methodology

  Continues the provisions of the July 20, 2013 Emergency Rule which amended the provisions of the April 15, 2013 Emergency Rule in order to revise the formatting of these provisions as a result of the promulgation of the June 1, 2013 Emergency Rule to assure that these provisions are promulgated in a clear and concise manner in the Louisiana Administrative Code (LAC).

• February 13, 2015

  Inpatient Hospital Services – Public Private Partnerships – Supplemental Payments (LAC 50:V.Chapter 17)

  Continues the provisions of the November 1, 2012 Emergency Rule which amended the provisions governing inpatient hospital services to establish supplemental Medicaid payments to non-state owned hospitals in order to encourage them to take over the operation and management of state-owned and operated hospitals that have terminated or reduced services.

• February 13, 2015

  Nursing Facilities – Per Diem Rate Reduction (LAC 50:II.20005)

  Continues the provisions of the July 1, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for nursing facilities in order to reduce the per diem rates paid to non-state nursing facilities.

• February 13, 2015

  Nursing Facilities – Standards for Payment – Level of Care Determination (LAC 50:II.10156)

  Continues the provisions of the July 20, 2014 Emergency Rule which amended the provisions governing level of care pathways in order to clarify the provisions of the June 20, 2013 Rule.

• February 13, 2015

  Outpatient Hospital Services – Public-Private Partnerships – Supplemental Payments (LAC 50:V.Chapter 67)

  Continues the provisions of the March 2, 2013 Emergency Rule which amended the provisions of the November 1, 2012 Emergency Rule to revise the reimbursement methodology in order to correct the federal citation.

• February 13, 2015

  Recovery Audit Contractor Program (LAC 50:I.Chapter 85)

  Continues the provisions of the November 20, 2014 Emergency Rule which adopted provisions to establish the Recovery Audit Contractor program.

• February 13, 2015

  Targeted Case Management – Reimbursement Methodology (LAC 50:XV.10701)

  Continues the provisions of the July 1, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for TCM services provided to New Opportunities Waiver (NOW) recipients in order to adopt a payment methodology based on a flat monthly rate rather than 15-minute increments.

• February 13, 2015

  Therapeutic Group Homes – Licensing Standards (LAC 48:I.Chapter 62)

  Continues the provisions of the July 20, 2014 Emergency Rule which amended the provisions governing TGH licensing standards to revise the current TGH licensing regulations.

• January 23, 2015

  Applied Behavior Analysis-Based Therapy Services (LAC 50:XV.Chapters 1-7)

  Continues the provisions of the October 20, 2014 Emergency Rule which amended the provisions of the February 1, 2014 Emergency Rule to ensure compliance with all of the provisions required by the court order issued in Melanie Chisholm, et al vs. Kathy Kliebert class action litigation.