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LDH News

• September 11, 2015

  Inpatient Hospital Services - Public-Private Partnerships - South Louisiana Area (LAC 50:V.1703)

  Continues the provisions of the June 20, 2014 Emergency Rule which amended the provisions of the June 24, 2013 Emergency Rule governing inpatient hospital services to remove the provisions governing the cooperative endeavor agreements for Lafayette and New Orleans area hospitals as a result of the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services’ disapproval of the corresponding State Plan Amendments.

• September 11, 2015

  Intermediate Care Facilities for Persons with Intellectual Disabilities - Complex Care Reimbursements (LAC 50:VII.32915)

  Continues the provisions of the October 1, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for intermediate care facilities for individuals with intellectual disabilities (ICFs/ID) to establish reimbursement for complex care services provided to Medicaid recipients residing in non-state ICFs/ID.

• September 11, 2015

  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.

• September 11, 2015

  Outpatient Hospital Services - Children’s Specialty Hospitals - Supplemental Payments for New Orleans Area Hospitals (LAC 50: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.

• September 11, 2015

  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.

• September 11, 2015

  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.

• September 11, 2015

  Outpatient Hospital Services - Public-Private Partnerships - South Louisiana Area (LAC 50:V.6703)

  Continues the provisions of the October 20, 2013 Emergency Rule which amended the provisions governing the reimbursement methodology for outpatient hospital services provided by non-state owned hospitals participating in public-private partnerships to remove the New Orleans Area hospital which was erroneously included in these provisions.

• September 11, 2015

  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.

• September 11, 2015

  September 2015 Final Rules

  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 September 20, 2015 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.

• September 11, 2015

  Disproportionate Share Hospital Payments - Inpatient Psychiatric Services - Reimbursement Rate Reduction (LAC 50:V.959 and 2709)

  Amends the provisions governing disproportionate share hospital (DSH) payments to reduce DSH payments to qualifying hospitals for inpatient psychiatric services provided by non-rural, non-state acute care hospitals.

• September 11, 2015

  Facility Need Review (LAC 48:I.Chapter 125)

  Amends the provisions of the November 20, 2014 Emergency Rule which revised the definition for home and community-based service providers to include monitored in-home caregiving (MIHC) services, and the provisions governing the service area for adult day health care providers in order to revise the formatting of these provisions in order to ensure that the provisions are promulgated in a clear and concise manner.

• September 11, 2015

  Home and Community Based Services Waivers - New Opportunities Waiver - Emergency Opportunities (LAC 50: XXI.13709)

  Amends the provisions governing the allocation of waiver opportunities in the New Opportunities Waiver (NOW) to revise the criteria for emergency waiver services, simplify the allocation process for NOW emergency opportunities, and facilitate faster access to emergency waiver services for qualified individuals.