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LDH News

• February 16, 2015

  ATTENTION PROVIDERS: Retro Claims

• February 14, 2015

  RFP for Medicaid Eligibility and Enrollment Solution

  The purpose of this RFP is to solicit proposals for the Office of Technology Services for services to design, implement, and provide on-going maintenance and operation of a best-practice, cost-effective, Medicaid Eligibility and Enrollment solution for the State of Louisiana, Department of Health & Hospital (DHH). The goal of the State is to implement an automated solution that will support Medicaid eligibility and enrollment processes using modern and lasting technologies, and allow Louisiana Medicaid to be more agile in responding to the changing needs of applicants, enrollees and partners while meeting all Federal and State requirements.

• February 13, 2015

  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.

• February 13, 2015

  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.

• February 13, 2015

  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.

• February 13, 2015

  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.

• February 13, 2015

  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.

• February 13, 2015

  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.

• February 13, 2015

  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).

• February 13, 2015

  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.

• February 13, 2015

  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.

• February 13, 2015

  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.