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Continues the provisions of the August 1, 2015 Emergency Rule which amended the provisions governing the reimbursement methodology for 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.
Continues the provisions of the April 15, 2013 Emergency Rule which amended the provisions governing reimbursement for Medicaid payments for outpatient services provided by non-state owned major teaching hospitals participating in public-private partnerships which assume the provision of services that were previously delivered and terminated or reduced by a state owned and operated facility.
Continues the provisions of the April 1, 2015 Emergency Rule which amended the provisions governing long-term personal care services (LT-PCS) in order to adopt requirements which mandate that LT-PCS providers must utilize the electronic visit verification (EVV) system designated by the department for automated scheduling, time and attendance tracking, and billing for long-term personal care services.
Continues the provisions of the April 1, 2015 Emergency Rule which amended the provisions governing the Community Choices Waiver in order to adopt requirements which mandate that providers of personal assistant services must utilize the electronic visit verification (EVV) system designated by the department for automated scheduling, time and attendance tracking, and billing for certain home and community-based services.
The Department of Health and Hospitals, Bureau of Health Services Financing has submitted Final Rules to the Office of the State Register for publication in the March 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.
Repeals and replaces the provisions governing recipient appeals and fair hearings in the May 20, 1996 Rule in order to update the provisions to be consistent with current operations, and to repromulgate the provisions in a clear and concise manner for inclusion in the Louisiana Administrative Code.
Amends the provisions governing the Supports Waiver in order to clarify the reimbursement methodology, remove language that provides historical information pertaining to the rate reimbursement and revise terminology associated with Supports Waiver reimbursements.
Amends the provisions governing hospital licensing standards in order to align these provisions with current standards of practice and staffing guidelines.
Adopts provisions to establish a Medicaid asset verification process to verify the assets of aged, blind or disabled applicants for, and recipients of, Medicaid benefits. The proposed Rule will serve to establish the internal procedures for verifying assets, but will not have a direct impact on Medicaid enrollment or eligibility.
Amends the provisions governing the New Opportunities Waiver in order to clarify the reimbursement methodology, remove language that provides historical information pertaining to the rate reimbursement, and revise terminology associated with New Opportunities Waiver reimbursements.
Amends the provisions governing the home and community-based services waivers in order to further clarify the reimbursement methodology.
Amends the provisions governing the Residential Options Waiver in order to clarify the reimbursement methodology, remove language that provides historical information pertaining to the rate reimbursement and revised the terminology associated with ROW reimbursements.