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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.
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.
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.
Amends the July 1, 2023 Emergency Rule which amended the provisions governing reimbursement in the Medical Transportation Program in order to align the reimbursement rates established for emergency ambulance services and providers with current practice for Medicaid managed care and fee-for-service.
Amends the provisions governing targeted case management (TCM) under the New Opportunities Waiver, early and periodic screening, diagnosis and treatment, and the EarlySteps Program in order to clarify language and ensure the requirements for TCM services are accurately reflected throughout the administrative Rule.
Repeals professional service Rules which were promulgated prior to implementation of the Louisiana Administrative Code codification system, as it has been determined that the provisions of these uncodified Rules are obsolete or are procedural requirements that are included in the provider manual and should be repealed.
Amends the provisions governing the Pharmacy Benefit Management Program in order to remove references to specific over the counter drugs from the Louisiana Administrative Code to align the administrative Rule with the Medicaid State Plan, as a result of guidance from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
The Louisiana Department of Health, Bureau of Health Services Financing has submitted Final Rules to the Office of the State Register for publication in the September 20, 2023 edition of the Louisiana Register in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq.