RULEMAKING: Medicaid - Notices of Intent

November 14, 2017
Amends the provisions governing the facility need review (FNR) process to adopt provisions to include behavioral health services providers of psychosocial rehabilitation and/or community psychiatric support and treatment services in the FNR program..
November 14, 2017
Continues the provisions of the June 30, 2016 and February 20, 2017 Emergency Rules which adopted provisions to establish a qualification criteria and disproportionate share hospital payment methodology for major medical centers located in the central and northern areas of Louisiana.
November 14, 2017
Amends the provisions governing children’s behavioral health services in order to: 1) reflect the coordinated system of care contractor moving from a non-risk contract to a full-risk capitated contract; 2) remove the requirements for the Office Behavioral Health certification of providers and for prior approval of services; and 3) clarify the exclusion criteria for services rendered by institutes for mental disease.
November 14, 2017
Amends the provisions governing substance use disorders (SUD) services rendered to children and adults in order to: 1) reflect the coordinated system of care contractor moving from a non-risk contract to a full-risk capitated contract; 2) remove the requirements for the Office of Behavioral Health certification of providers and for prior approval of SUD services; 3) clarify the exclusion criteria for institutes for mental disease; and 4) clarify the requirements for residential addiction treatment facilities.
November 14, 2017
Amends the provisions governing the Healthy Louisiana and Coordinated System of Care (CSoC) Waiver in order to: 1) reflect the CSoC contractor moving from a non-risk contract to a full-risk capitated contract; 2) clarify the CSoC contractor procurement process; 3) remove the requirements for mandatory enrollment of CSoC participants and the Office of Behavioral Health certification of providers; and 4) clarify the grievance and appeals process.
October 11, 2017
Amends the provisions governing reimbursement for targeted case management services provided to participants in the Early and Periodic Screening, Diagnosis and Treatment program in order to adopt a payment methodology based on a flat monthly rate rather than 15-minute increments.
October 11, 2017
Amends the provisions governing the Professional Services Program in order to revise the reimbursement methodology governing services rendered by physicians and other professional services practitioners employed by, or under contract to provide services in affiliation with, a state-owned or operated entity in order to enhance the reimbursement rates.
October 11, 2017
Amends the provisions governing managed care for physical and behavioral health in order to include applied behavior analysis-based therapy in the specialized behavioral health services the managed care organizations that participate in the Healthy Louisiana program are required to provide.
October 11, 2017
Amends the provisions governing leave of absence days for intermediate care facilities for persons with intellectual disabilities in order to exclude bereavement days for close family members from the annual limit.
October 11, 2017
Continues the provisions of the October 1, 2017 Emergency Rule which amended the provisions governing reimbursement for public facilities in order to extend the period of transitional rates for large facilities that provide continuous nursing coverage to medically fragile populations for an additional year.