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Home and Community-Based Services Waivers– Community Choices Waiver (LAC 50:XXI.8329 and 8601)
Amends the provisions governing the Community Choices Waiver in order to clarify the provisions of the April 20, 2014 Rule.
LDH News
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Home and Community-Based Service Providers - Licensing Standards (LAC 48:I.Chapters 50 and 51)
Amends the provisions governing the licensing standards for HCBS providers to clarify these provisions and to add licensing regulations for the Monitored In-Home Caregiving waiver program.
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Facility Need Review (LAC 48:I.12501 and 12525)
Amends the provisions governing the Facility Need Review Program in order to revise the definition for home and community-based service providers to include monitored in-home caregiving (MIHC) services, and to revise the provisions governing the service area for adult day health care providers.
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Coordinated Care Network – Recipient Participation (LAC 50:I.3103)
Continues the provisions of the July 20, 2014 Emergency Rule which amended the provisions governing the June 20, 2014 Rule to exclude Chisholm class member participation in CCNs to allow sufficient time for CCNs to amend the current contracts to meet the requirements of the Chisholm judgment.
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Coordinated Care Network – Physician Services – Reimbursement Methodology (LAC 50:I.3307 and 3509)
Amends the provisions of the August 20, 2014 Emergency Rule to correct an error in the formatting of these provisions.
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Outpatient Hospital Services - Non-Rural, Non-State Hospitals - Supplemental Payments for Monroe Area Hospitals (LAC 50:V.6903)
Amends the provisions governing the reimbursement methodology for outpatient services rendered by non-rural, non-state hospitals in order to adopt a supplemental payment methodology for services rendered by hospitals located in DHH Administration Region 8 in the Monroe area.
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Inpatient Hospital Services – Public-Private Partnerships – Reimbursement Methodology
Continues the provisions of the July 20, 2013 Emergency Rule which amended the provisions of the April 15, 2013 Emergency Rule in order to revise the formatting of these provisions as a result of the promulgation of the June 1, 2013 Emergency Rule to assure that these provisions are promulgated in a clear and concise manner in the Louisiana Administrative Code (LAC).
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Inpatient Hospital Services – Public Private Partnerships – Supplemental Payments (LAC 50:V.Chapter 17)
Continues the provisions of the November 1, 2012 Emergency Rule which amended the provisions governing inpatient hospital services to establish supplemental Medicaid payments to non-state owned hospitals in order to encourage them to take over the operation and management of state-owned and operated hospitals that have terminated or reduced services.
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Nursing Facilities – Per Diem Rate Reduction (LAC 50:II.20005)
Continues the provisions of the July 1, 2014 Emergency Rule which amended the provisions governing the reimbursement methodology for nursing facilities in order to reduce the per diem rates paid to non-state nursing facilities.
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Nursing Facilities – Standards for Payment – Level of Care Determination (LAC 50:II.10156)
Continues the provisions of the July 20, 2014 Emergency Rule which amended the provisions governing level of care pathways in order to clarify the provisions of the June 20, 2013 Rule.
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Outpatient Hospital Services – Public-Private Partnerships – Supplemental Payments (LAC 50:V.Chapter 67)
Continues the provisions of the March 2, 2013 Emergency Rule which amended the provisions of the November 1, 2012 Emergency Rule to revise the reimbursement methodology in order to correct the federal citation.
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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.