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March 2017 Legislative Oversight Committee Activity
The March 2017 Legislative Oversight Committee reports have been submitted to the respective legislative oversight committees in accordance with R.S. 49:968(D)(1)(b)(c)
LDH News
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CDC finds syphilis rates rising among newborn babies
The rate of babies born with syphilis is rising in Louisiana, according to the Centers for Disease Control and Prevention. The CDC found the rate of congenital syphilis rose by 6% nationwide between 2014 and 2015. Director of the Bureau of Infectious Diseases for the Office of Public Health, Dr. DeAnn Gruber, says the problem is even worse in Louisiana.
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Department of Health and Department of Corrections team up to provide health care coverage for newly released offenders
Numerous studies show that access to mental health, substance use and other health care services helps former offenders better integrate back into their communities, lessening the likelihood of these individuals committing future crimes. Now, because of Medicaid expansion, the Louisiana Department of Health and the Department of Corrections are helping incarcerated individuals enroll into Medicaid, with coverage beginning once the individual’s sentence is complete and they transition out of prison.
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Medicaid Expansion enrollment increases to 400,635; uninsured rate drops
Medicaid Expansion enrollment in Louisiana reaches 400,635 new members enrolled, and the most recent Gallup report shows the uninsured rate in Louisiana has decreased by nearly half to 12.5 percent in 2016, down from 21.7 percent in 2013. Gallop cites expansion as the key contributor for the reduction in the uninsured rate.
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RFP: Consulting Services to Support the Implementation of the Louisiana Emergency Response Network (LERN) Strategic Plan
The purpose of this Request for Proposal (RFP) is to obtain competitive proposals from qualified Proposers who are interested in providing a broad array of consulting services.
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February 2017 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 February 20, 2017 edition of the Louisiana Register in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq. Prior submissions are available in the archives.
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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.
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Professional Services Program – Reimbursement Methodology – Supplemental Payments LAC 50:IX.15151 and 15153
Amends the provisions governing the Professional Services Program to revise the reimbursement methodology for supplemental payments to physicians and other professional service practitioners in order to clarify the qualifying criteria for these payments and to reformat the provisions to ensure they are promulgated in a clear and concise manner in the Louisiana Administrative Code.
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Disproportionate Share Hospital Payments – Major Medical Centers LAC 50:V.2715
Amends the provisions of the June 30, 2016 Emergency Rule governing disproportionate share hospital (DSH) payments to major medical centers located in the central and northern areas of Louisiana in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) requirements.
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Pharmacy Benefits Management Program - State Supplemental Rebate Agreement Program LAC 50:XXIX.Chapter 11
Continues the provisions of the October 1, 2013 Emergency Rule governing the Pharmacy Benefits Management Program which established provisions for the Medicaid Program’s participation in The Optimal PDL $olution (TOP$) State Supplemental Rebate Agreement Program.
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Outpatient Hospital Services - Non-Rural, Non-State Hospitals and Children’s Specialty Hospitals - Reimbursement Rate Increase LAC 50:V.5313, 5317, 5513, 5517, 5713, 5719, 6115 and 6119
Continues the provisions of the January 1, 2017 Emergency Rule which amended the provisions governing the reimbursement methodology for outpatient hospital services in order to increase the Medicaid reimbursement rate paid to non-rural, non-state hospitals and children’s specialty hospitals in compliance with the requirements of House Concurrent Resolution (HCR) 51 of the 2016 Regular Session of the Louisiana Legislature.
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Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Reimbursement Rate Increase LAC 50:V.Chapter 9
Continues the provisions of the January 1, 2017 Emergency Rule which amended the provisions governing the reimbursement methodology for inpatient hospital services to increase the Medicaid reimbursement rate paid to non-rural, non-state hospitals in compliance with the requirements of House Concurrent Resolution (HCR) 51 of the 2016 Regular Session of the Louisiana Legislature.