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LDH News
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The Advocate: Our Views: La. Medicaid program's ancient computers finally getting retired
The official kickoff of a new computer system in state government may not seem like the most dramatic story to come out of Baton Rouge, but it is an important step forward in one of the biggest programs in the budget.
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Audit of prior Medicaid eligibility system supports pending utilization of tax data
Last month, the Louisiana Department of Health unveiled a new Medicaid eligibility and enrollment system that uses the most up-to-date technology to ensure accurate eligibility determinations. This new system addresses many of the limitations of the former, outdated system as identified by the Department, the Legislature and the auditor.
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Medicaid will use federal tax data to determine eligibility
Louisiana’s new Medicaid eligibility and enrollment system will now give the health department access to federal income tax data of potential Medicaid enrollees to ensure they are eligible for Medicaid. This capability is in addition to numerous other income and employment data sources that are now available to Medicaid to ensure that all recipients meet the strict financial eligibility standards.
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Office of Behavioral Health receives $23.1 million State Opioid Response grant
The grant funds the Office’s Louisiana State Opioid Response Project, or LaSOR, to combat the state’s opioid crisis.
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December 2018 Final Rules
The Louisiana Department of Health, Bureau of Health Services Financing has submitted Final Rules to the Office of the State Register for publication in the December 20, 2018 edition of the Louisiana Register in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq.
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Telemedicine – Claim Submissions LAC 50:I.503
Amends the provisions governing telemedicine in order to revise the procedures for claim submissions to comply with recommendations by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services and align with current managed care organization practices.
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School-Based Health Services LAC 50:XV.Chapter 95 and XXXIII.Chapter 41
Amends the provisions governing school-based medical services covered in the Early and Periodic Screening, Diagnosis and Treatment Program and school-based behavioral health services in order to: 1) add services categorized as 504 plans, individual health plans or otherwise medically necessary in addition to those covered by an individual education plan, to the services available for school-based Medicaid claiming; 2) amend the reimbursement methodology to expand allowable billing providers for direct/therapy and nursing services; and 3) add applied behavioral analysis, personal care services and transportation to allowable Medicaid billing.
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Rural Health Clinics – Alternative Payment Methodology LAC 50:XI.16703
Amends the provisions governing the reimbursement methodology for rural health clinics (RHCs) in order to implement an alternative payment methodology to allow RHCs to be reimbursed a separate prospective payment system (PPS) rate for behavioral health and dental services which is at the same rate as the existing all-inclusive encounter PPS rate when such services are rendered on the same day as a medical visit.
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Intermediate Care Facilities for Individuals with Intellectual Disabilities – Transitional Rates for Public Facilities LAC 50:VII.32969
Amends the provisions governing intermediate care facilities for individuals with intellectual disabilities in order to align the Rule language relative to transitional rates for public facilities with the Medicaid State Plan amendment approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, and to ensure that the provisions are accurately promulgated in a clear and concise manner in the Louisiana Administrative Code.
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Federally Qualified Health Centers – Alternative Payment Methodology LAC 50:XI.10703
Amends the provisions governing the reimbursement methodology for federally qualified health centers (FQHCs) in order to implement an alternative payment methodology to allow FQHCs to be reimbursed a separate prospective payment system (PPS) rate for behavioral health and dental services which is at the same rate as the existing all-inclusive encounter PPS rate when such services are rendered on the same day as a medical visit.
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December 2018 Legislative Oversight Committee Activity
The December 2018 Legislative Oversight Committee reports have been submitted to the respective legislative oversight committees in accordance with R.S. 49:968(D)(1)(b)(c)