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LDH News

• October 13, 2023

  Nursing Facilities - Optional State Assessment LAC 50:II.10123 and 20001

  Continues the provisions of the October 1, 2023 Emergency Rule, which amended the provisions governing the standards for payment and reimbursement for nursing facilities in order to implement the required transition from the current resource utilization group (RUG-III/RUG-IV) case-mix classification model used under the Medicare skilled nursing facility prospective payment system to the patient driven payment model which was delayed by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services until October 1, 2023 due to the COVID-19 public health emergency and to mandate use of the optional state assessment.

• October 13, 2023

  Medical Transportation Program - Non-Emergency Medical Transportation - American Rescue Plan Act LAC 50:XXVII.531

  Continues the provisions of the December 1, 2023 Emergency Rule, which amended the provisions in the Medical Transportation Program governing American Rescue Plan Act (ARPA) bonus payments to providers of non-emergency medical transportation (NEMT) services in order to establish the guidelines the department will utilize to oversee the administration and distribution of ARPA bonus payment funds to eligible NEMT providers by the Medicaid managed care organizations.

• October 13, 2023

  Medical Transportation Program - Emergency Medical Transportation LAC 50:XXVII.Chapter 3

  Continues the provisions of the September 11, 2023 Emergency Rule, which amended the July 1, 2023 Emergency Rule promulgated to comply with the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirement that reimbursement for emergency ambulance services transition from the Full Medicaid Pricing program to an approved federal supplemental payment program.

• October 13, 2023

  Medicaid Eligibility - Incurred Medical and Remedial Care Expenses LAC 50:III.941

  Adopts provisions governing incurred medical and remedial care expenses in the determination of financial eligibility for the Medical Assistance Program in order to deduct expenses incurred for necessary medical and remedial care, subject to the reasonable limits, from the individual’s income when calculating patient liability to an institution and to limit the time institutions have to report these expenses, in compliance with 42 C.F.R. Part 435 Subparts H and I.

• October 13, 2023

  Home Health Program - American Rescue Plan Act LAC 50:XIII.801

  Amends the provisions governing nursing recruitment and retention payments in the Home Health Program as a result of the decision by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services to continue to provide funding under the American Rescue Plan Act of 2021 through March 2025.

• October 13, 2023

  Home and Community-Based Services Waivers - Supports Waiver LAC 50:XXI.Chapters 53-61

  Amends the provisions governing the Supports Waiver to: 1) add specialized medical equipment and supplies (incontinence supplies) and community life engagement development as services, and transportation as a separate service; 2) add reimbursement for each new service; and 3) allow prevocational services to be delivered virtually in order to align the administrative Rule with the waiver application approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.

• October 13, 2023

  Home and Community-Based Behavioral Health Services Waiver - Coordinated System of Care Discharge Criteria LAC 50:XXXIII.8103

  Amends the provisions governing the home and community-based behavioral health services waiver in order to clarify the criteria for discharge from the Coordinated System of Care program and ensure that members are aware that their failure to cooperate in the re-evaluation assessment will result in discharge from the waiver program.

• October 13, 2023

  October 2023 Legislative Oversight Committee Activity

  The October 2023 Legislative Oversight Committee reports have been submitted to the respective legislative oversight committees in accordance with R.S. 49:968(D)(1)(b)(c)

• October 11, 2023

  Facility Need Review LAC 48:I.Chapter 125

  Repeals and replaces the provisions of LAC 48:I.Chapter 125 governing facility need review in its entirety in order to re-promulgate these provisions in compliance with Act 531 of the 2022 Regular Session of the Louisiana Legislature and to include requirements for Opioid Treatment Program need and application reviews.

• October 06, 2023

  Healthy Louisiana Open Enrollment begins October 15

• October 06, 2023

  LDH Office of Women's Health and Community Health to hold town hall in Lake Charles on October 9

  The Louisiana Department of Health's Office of Women's Health and Community Health is continuing its "Listen to H.E.R.: Hearing, Empowering, Responding" town hall series, with the next town hall taking place in Lake Charles.

• September 29, 2023

  Nursing Facilities - Optional State Assessment LAC 50:II.10123 and 20001

  Amends the provisions governing the standards for payment and reimbursement for nursing facilities in order to implement the required transition from the current resource utilization group (RUG-III/RUG-IV) case-mix classification model used under the Medicare skilled nursing facility prospective payment system to the patient driven payment model which was delayed by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) until October 1, 2023 due to the COVID-19 public health emergency and to mandate use of the optional state assessment.