RULEMAKING: Medicaid - Notices of Intent

April 10, 2018
Amends the provisions governing the reimbursement methodology for federally qualified health centers (FQHCs) in order to establish cost reporting requirements when there is a change in the scope of services rendered by the FQHC to align these provisions with the corresponding approved Medicaid State Plan and operational practices, and to ensure that they are appropriately codified into the Louisiana Administrative Code in a clear and concise manner.
April 10, 2018
Amends the provisions governing the licensing standards for adult residential care providers (ARCPs) in order to correct a citation in the June 20, 2015 Rule relative to the involuntary termination process for ARCP residency agreements, and to ensure that these provisions are appropriately promulgated in the Louisiana Administrative Code.
March 12, 2018
Amends the provisions governing the Pharmacy Benefits Management Program to revise the reimbursement methodology for physician-administered drugs in a physician office setting in order to bring the rates current and to incorporate a mechanism for periodic updates to the rates in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements.
March 12, 2018
Amends the provisions governing the standards for payments for nursing facilities in order to clarify the definitions of admission and continued stay, clarify the provisions governing the levels of care pathways and eliminate the behavior pathway for meeting nursing facility level of care.
March 12, 2018
Amends the provisions governing healthcare services provider fees in order to revise the payment methodology for hospital and emergency ground ambulance services providers and to more closely align the provisions governing nursing facility services, intermediate care facilities for individuals with developmental disabilities, and pharmacy services with current governing authorities and ensure that they are promulgated in a clear and concise manner in the Louisiana Administrative Code.
March 12, 2018
Amends the provisions governing adult behavioral health services in order to: 1) clarify the medical necessity criteria and target population for mental health services; 2) allow for more frequent assessments and treatment plan updates based on individual needs; 3) clarify information required to ensure treatment records are comprehensive and include all necessary documents; and 4) update language and revise service authorization requirements.
February 12, 2018
Amends the provisions governing the Professional Services Program to revise the reimbursement methodology for supplemental payments to physicians and other professional service practitioners in order to align these provisions with the corresponding State Plan amendment approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services and to ensure that they are promulgated in a clear and concise manner in the Louisiana Administrative Code.
February 12, 2018
Amends the provisions governing nursing facilities in order to revise and clarify the documentation requirements for medical certification of initial admissions and continued stay processes to ensure that these provisions are promulgated in a clear and concise manner in the Louisiana Administrative Code.
February 09, 2018
Amends the provisions governing the screening and enrollment of Medicaid providers in order to collect an application fee for any providers that have not already been screened by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services or another state Medicaid agency in compliance with the requirements of the Affordable Care Act and 42 CFR 455.460.
January 12, 2018
Amends the provisions governing the licensing standards for therapeutic group homes (TGHs) in order to: 1) clarify and update these provisions to be consistent with the standard language used in other licensing Rules and with standard processes; 2) update the comprehensive treatment plan provisions; and 3) establish provisions for inactivation of licensure due to non-declared disasters or emergencies and for TGH residents to attend school in an alternative setting.