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In May 2024, Louisiana Medicaid is restarting eligibility wage checks to verify that Medicaid members continue to meet income requirements. Wage checks will be conducted every three months. This is in addition to yearly renewals.
Adopts provisions governing qualifying criteria and reimbursement methodology for high Medicaid utilization academic hospitals to increase payments for outpatient hospital services.
Adopts provisions governing qualifying criteria and reimbursement methodology for high Medicaid utilization academic hospitals to increase payments for inpatient hospital services.
The Department of Health, Health Standards Section amends the provisions governing the licensing of hospitals in order to add a new definition, and to include provisions for the distribution of naloxone nasal spray to patients and/or non-patients who present in the hospital. This action is being taken due to the drastic increase in the number of fatal opioid overdoses in Louisiana. To prevent the imminent peril to the health, safety, and welfare of the public, access to a life-saving medication to reverse opioid overdose will be expanded. It is anticipated that implementation of this Emergency Rule will have no fiscal impact for state fiscal year 2023-2024. This action is effective April 29, 2024.
Services offered include health screening, immunizations, nutrition education, Narcan and opioid prevention education, information on Medicaid renewals and health insurance marketplace coverage, and more.
The advisories include 1 new warning and updates to 10 previously issued warnings.
The hospitals were recognized for committing to practices that improve quality and outcomes for women giving birth.
A 60-year-old female died in an accidental storm-related incident outside Pineville.
Amends the provisions governing provider screening and enrollment in order to comply with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements to align the provisions governing out-of-state enrollment and single case agreements with the Medicaid Provider Enrollment Compendium, to codify provisions for informal hearings and appeal rights for provider enrollment denials and terminations, and to ensure that the administrative Rule is consistent with current practices.
Amends the provisions governing the Pharmacy Benefit Management Program in order to align the language in the Louisiana Administrative Code relative to drugs excluded from Medicaid coverage with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services -approved State Plan amendment.