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LDH News

• January 12, 2017

  Nursing Facilities – Evacuation and Temporary Sheltering Costs LAC 50:II.20019

  Continues the provisions of the October 13, 2016 Emergency Rule which amended the provisions of the May 20, 2008 Rule governing the reimbursement methodology for nursing facilities to amend the provisions governing evacuation and temporary sheltering costs in order to ensure that an evacuating nursing facility continues to receive vendor payments while providing essential care and services to residents at a host site when they are displaced.

• January 12, 2017

  Intermediate Care Facilities for Persons with Intellectual Disabilities - Public Facilities - Reimbursement Rate Increase LAC 50:VII.32969

  Continues the provisions of the October 1, 2014 Emergency Rule which amended the provisions governing the transitional rates for public facilities in order to increase the Medicaid reimbursement rate.

• January 12, 2017

  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals LAC 50:V.971

  Continues the provisions of the February 12, 2015 Emergency Rule which amended the provisions governing the reimbursement methodology for inpatient hospital services rendered by non-rural, non-state hospitals in order to adopt a supplemental payment methodology for services provided by hospitals located in DHH Administrative Region 8 in the Monroe area.

• January 12, 2017

  Inpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Baton Rouge Area Hospitals LAC 50:V.973

  Continues the provisions of the February 12, 2015 Emergency Rule which amended the provisions governing inpatient hospital services rendered by non-rural, non-state hospitals in order to adopt a supplemental payment methodology for services provided by hospitals located in the Baton Rouge area.

• January 11, 2017

  Inpatient Hospital Services – Non-Rural, Non-State Hospitals – Public Hospitals Supplemental Payments LAC 50:V.963

  Continues the provisions of the October 1, 2015 Emergency Rule which amended the reimbursement methodology governing inpatient hospital services in order to amend the provisions governing supplemental Medicaid payments to qualifying non-rural, non-state public hospitals.

• January 11, 2017

  Inpatient Hospital Services - Children’s Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals LAC 50:V.969

  Continues the provisions of the February 12, 2015 Emergency Rule which adopted a supplemental payment methodology for inpatient hospital services rendered by children’s specialty hospitals in the New Orleans area.

• January 11, 2017

  Disproportionate Share Hospital Payments – Louisiana Low-Income Academic Hospitals LAC 50:V.2501 and Chapter 31

  Amends the provisions of the October 20, 2016 Emergency Rule which revised the provisions governing disproportionate share hospital (DSH) payments to Louisiana low-income academic hospitals in order to comply with Centers for Medicare and Medicaid Services (CMS) requirements.

• January 11, 2017

  Pharmacy Benefits Management Program LAC 50:XXIX.Chapters 1-9

  Amends the provisions governing the reimbursement methodology in the Pharmacy Benefits Management Program in order to clarify requirements regarding 340B-covered entities, and to revise the reimbursement methodology to include federal upper limits (FUL), new copayment exemptions and over-the-counter medications added for expansion benefits pursuant to U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) recently released regulations.

• January 11, 2017

  Medicaid Eligibility - Louisiana Health Insurance Premium Payment Program LAC 50:III.2311

  Reinstates the Louisiana Health Insurance Premium Payment Program (LaHIPP) in order to reduce Medicaid costs by establishing or maintaining a third party resource as the primary payer of the Medicaid recipient’s medical expenses.

• January 11, 2017

  Managed Care for Physical and Behavioral Health - Louisiana Health Insurance Premium Payment Program LAC 50:I.3103

  Amends the provisions governing managed care for physical and behavioral health in order to exclude Louisiana Health Insurance Premium Payment Program (LaHIPP) participants from participation in managed care for physical and behavioral health.

• January 11, 2017

  Intermediate Care Facilities for Persons with Intellectual Disabilities - Supplemental Payments LAC 50:VII.32917

  Continues the provisions of the August 1, 2015 and July 20, 2016 Emergency Rules which amended the provisions governing the reimbursement methodology for intermediate care facilities for persons with intellectual disabilities (ICFs/ID) in order to adopt provisions to establish supplemental Medicaid payments for services provided to Medicaid recipients residing in privately-owned facilities that enter into a cooperative endeavor agreement with the department and established upper payment limits for supplemental payments to private intermediate care facilities entering into a cooperative endeavor agreement with the department.

• January 11, 2017

  January 2017 Legislative Oversight Committee Activity

  The January 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)