Official Louisiana State Websites use .la.gov 
Secure .gov websites use HTTPS 
| Rulemaking Actions | |||||
| 2026 | 2025 Archive | 2024 Archive *coming soon* | 2023 Archive *coming soon* | ||
| 2022 Archive *coming soon* | 2021 Archive *coming soon* | 2020 Archive *coming soon* | 2019 Archive *coming soon* | ||
Medicaid Rulemaking
This web page contains historical administrative rulemaking documents promulgated by the Louisiana Department of Health (LDH), Bureau of Health Services Financing (BHSF) and officially published in the Louisiana Register and then compiled into the Louisiana Administrative Code (LAC) Titles 48 and 50. Title 48 of the LAC contains the rules governing the licensing and/or certification of health care facilities/programs. Title 50 of the LAC contains the rules governing the administration of the Louisiana Medicaid Program. All rules promulgated by the LDH/BHSF can be found on the Office of State Register's website.
Disclaimer: Please note that the official versions of the Notices of Intent and Rules are maintained on the Office of State Register's website at http://www.doa.louisiana.gov/osr/osr.htm. The excerpted versions of these documents contained on this website are provided as a courtesy service to the public and are unofficial and should be regarded as such. Users are encouraged to visit the Office of State Register's website for the official version.
Rulemaking Actions
Eligibility – Federally-Facilitated Marketplace Assessments LAC 50:III.505
Repeals LAC 50:III.505 to align with recent legislative changes enacted through Act 427 of the 2025 Regular Session, which prohibits the department from accepting Medicaid eligibility determinations made by a Federally-Facilitated Exchange, including the Federally-Facilitated Marketplace.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Eligibility - Federally-Facilitated Marketplace Assessments - Notice of Intent
Eligibility - Federally-Facilitated Marketplace Assessments - Oversight
Dental Benefits Prepaid Ambulatory Health Plan – Enrollment Broker LAC 50:I.2105
Amends the provisions governing dental benefits program managers to simplify enrollment rules, allowing beneficiaries to transfer to another dental benefit program manager (DBPM) up to two times per calendar year.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Dental Benefits Prepaid Ambulatory Health Plan – Enrollment Broker - Notice of Intent
Dental Benefits Prepaid Ambulatory Health Plan – Enrollment Broker - Oversight
Managed Care for Physical and Behavioral Health – Enrollment Broker LAC 50:I.3105 and 3107
Amends the provisions governing managed care organizations in order to remove parts that are no longer relevant, remove the annual enrollment period, and allow beneficiaries to change which MCO they are enrolled with twice in a calendar year.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Managed Care for Physical and Behavioral Health – Enrollment Broker - Notice of Intent
Managed Care for Physical and Behavioral Health – Enrollment Broker - Enrollment Broker
Intermediate Care Facilities for Persons with Intellectual Disabilities – Reimbursement Methodology LAC 50:VII.32917
Amends the provisions governing reimbursement methodology for ICFs/IID to remove the deadline for sending out payments and remove language that limited which facilities were eligible to those active and enrolled on the date of payment. This will provide the department with greater flexibility in distributing payments and will allow facilities to qualify based on the original eligibility date of July 1, 2024.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Intermediate Care Facilities for Persons with Intellectual Disabilities – Reimbursement Methodology - Notice of Intent
Intermediate Care Facilities for Persons with Intellectual Disabilities – Reimbursement Methodology - Oversight
Children and Adult Mental Health Services LAC 50:XXXIII.Chapters 23 and 63
Amends the provisions governing children and adult mental health services to expand the provider types authorized to render therapeutic services. This proposed rule would allow Medicaid to pay for therapy services provided by psychology interns in approved American Psychiatric Association internship programs, as well as by provisionally licensed psychologists. This is being done in accordance with Senate Concurrent Resolution 10 of the 2024 Regular Legislative Session.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Children and Adult Mental Health Services - Notice of Intent
Children and Adult Mental Health Services - Oversight
Medicaid Program Integrity – Fraud, Waste and Abuse Recovery LAC 50:I.Chapters 41-46
Repeals the existing language relating to Provider Fraud and Recovery and codifies current practices.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Medicaid Program Integrity – Fraud, Waste and Abuse Recovery - Notice of Intent
Medicaid Program Integrity – Fraud, Waste and Abuse Recovery - Oversight
Louisiana Children’s Health Insurance Program LAC 50:I.Chapter 205
Amends the provisions governing the Louisiana Children's Health Insurance Program (LaCHIP) Phase V to comply with Department of Health and Human Services, Centers for Medicare and Medicaid Services rule [42 CFR § 457.340(e)] for twelve-month continuous eligibility and procedures governing non-payment of premiums.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Louisiana Children’s Health Insurance Program - Notice of Intent
Eligibility – Citizenship or Satisfactory Immigration Status LAC 50:III.2523
Amends Medicaid eligibility provisions to align with federal requirements related to citizenship and satisfactory immigration status. In accordance with the 2025 Budget Reconciliation Act (House Resolution 1 of the 119th Congress), beginning October 1, 2026, Medicaid and the Children’s Health Insurance Program eligibility will be limited to individuals whose citizenship or immigration status qualifies them for federal financial participation.
Contact Information: Tangela Womack, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030
Eligibility – Citizenship or Satisfactory Immigration Status - Notice of Intent