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Healthcare Services Provider Fees - Nursing Facility Services Providers LAC 48:I.4001
Amends the provisions governing provider fees in order to increase the limit of the provider fee for nursing facilities.
LDH News
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Nursing Facilities - Reimbursement Methodology - Pass Through Rate Increase LAC 50:II.20005
Amends provisions the provisions governing nursing facilities reimbursement to include the provider fee increase in the nursing facility pass through rate.
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Pediatric Day Health Care Facilities - Licensing Standards LAC 48:I.5239
Amends the licensing standards governing pediatric day health care facilities in order to clarify the provider participation requirements regarding plans of care.
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Pediatric Day Health Care Program LAC 50:XV. 27501, 27503, 27901 and 28101
Amends the provisions governing pediatric day health care services in order to clarify these provisions and revise the recipient criteria and reimbursement methodology.
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September 2016 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 September 20, 2016 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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Pharmacy Benefits Management Program - State Supplemental Rebate Agreement Program LAC 50:XXIX.Chapter 11
Continues the provisions of the February 22, 2014 Emergency Rule which assures compliance with the technical requirements of R.S. 49:953, and 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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Pharmacy Benefits Management Program - Methods of Payment
Continues the provisions of the October 1, 2014 Emergency Rule which rescinded the provisions of the November 1, 2012 Emergency Rule governing the reimbursement methodology for services rendered in the Pharmacy Benefits Management Program, and returned to the reimbursement rates in effect on September 5, 2012 which is consistent with the currently approved Medicaid State Plan.
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Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals LAC 50:V.6903
Continues the provisions of the February 12, 2015 Emergency Rule which amended the provisions governing the reimbursement methodology for outpatient 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.
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Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Baton Rouge Area Hospitals LAC 50:V.6905
Continues the provisions of the February 12, 2015 Emergency Rule which amended the provisions governing outpatient 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.
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Outpatient Hospital Services - Children’s Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals LAC:V.6121
Continues the provisions of the February 12, 2015 Emergency Rule which adopted a supplemental payment methodology for outpatient hospital services rendered by children’s specialty hospitals in the New Orleans area.
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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.
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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.