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Louisiana Department of Health releases Request for Information for public engagement on Rural Health Transformation Program
LDH will utilize this program to provide transformative changes with long-lasting health benefits for rural Louisianans.
LDH News
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September 2025 Legislative Oversight Committee Activity
The September 2025 Legislative Oversight Committee reports have been submitted to the respective legislative oversight committees in accordance with R.S. 49:968(D)(1)(b)(c) . Prior submissions are available in the archives.
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September 2025 Final Rule
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, 2025 edition of the Louisiana Register in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq.
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Targeted Case Management – Ventilator Care Coordination LAC 50:XV.10101, 10107, 11101, 11103
Amends the provisions governing targeted case management in order to add ventilator care coordination as a service. This proposed Rule establishes the requirements for beneficiaries to receive these services, the requirements for Medicaid-participating hospitals and providers, and clarifies the reimbursement rate for targeted case management services.
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Managed Care Healthy Louisiana – Hospital and Practitioner Directed Payments LAC 50:I.3113
Amends the provisions governing Medicaid managed care organizations (MCOs) to allow practitioner and practitioner groups to participate in directed payments, in accordance with the preprint approved by Centers for Medicare and Medicaid Services (CMS).
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Professional Services – Reimbursement Methodology LAC 50:IX.8303, 8505, 15113, 15133, and XIX.4334
Continues the provisions of the July 1, 2025 Emergency Rule (Louisiana Register, Volume 51, Number 7). These higher reimbursement rates may incentivize more providers to participate in Medicaid. Medicaid physician payment rates have historically been significantly lower than those of Medicare, often averaging around two-thirds of the Medicare rate.
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Eligibility – Family Opportunity Act LAC 50:VIII.2303
Amends the provisions governing eligibility for the Family Opportunity Act Medicaid Program to establish continuous eligibility requirements, and to prevent termination of Medicaid or CHIP eligibility due to non-payment of premiums for children under the age of 19 during a continuous eligibility period.
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Refugee Medical Assistance LAC 50:XXXI
Continues the provisions of the July 1, 2025 Emergency Rule (Louisiana Register, Volume 51, Number 7) which amended the provisions governing refugee medical assistance (RMA) to shorten the period that assistance is granted through the RMA program from one year to four months, and to outline the termination conditions for RMA services.
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August 2025 Legislative Oversight Committee Activity
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Hospital Services – Coverage of Gene Therapies for Sickle Cell Disease LAC 50:V.120
Continues the July 1, 2025 Emergency Rule which adopted cell and gene therapy model that provides additional supplemental and federal rebates for gene therapies for sickle cell disease.
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Nursing Facilities – Reimbursement Methodology LAC 50:VII.Chapter 200
Continues the June 30, 2025 Emergency Rule which amended the provisions governing reimbursement for Nursing Facilities to revise the language and to replace resource utilization group resident classification system with the patient driven payment model.
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Professional Services Program – Reimbursement Methodology (LAC 50:IX.8305, 8505, 15113, 15133, and XIX.4334)
Adopts a new methodology for Medicaid managed care organization reimbursement and fee-for-service reimbursement rates to better align Medicaid rates to Medicare rates.