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Refugee Medical Assistance LAC 50:XXXI.Chapter 1
Amends the provisions governing refugee medical assistance (RMA) to shorten the period that assistance is granted through the refugee medical assistance (RMA) program from one year to four months.
LDH News
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Hospital Services – Coverage of Gene Therapies for Sickle Cell Disease LAC 50:V.120
Amends the provisions governing inpatient hospital services, to allow reimbursement for gene therapies for sickle cell disease outside the per diem rate and paid based on the actual acquisition cost in order to take advantage of a federal rebate.
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Nursing Facilities – Reimbursement Methodology LAC 50:VII.Chapter 200
Amends 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 (PDPM). The PDPM shifts the focus from therapy-based payments to a more patient-centered approach that takes into account the individual needs and conditions of residents. This action is being taken to comply with federal requirements.
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Waiver Spend-Down Patient Liability Income (PLI) Update for Providers
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Home and Community-Based Services Waivers – Adult Day Health Care – Cost Reporting LAC 50:XXI.711
Amends the provisions governing adult day health care providers in order to clarify the cost report penalty language. This proposed Rule removes unnecessary language.
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Louisiana Expands Developmental Screening Support for Children through 2025 Initiative
The Developmental Screening Implementation Training and Support initiative equips healthcare providers with comprehensive resources to integrate the Louisiana Developmental Screening Guidelines (LDSG) into their practices.
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Louisiana Medicaid to launch consent-based verification pilot for income checks
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Louisiana Medicaid Revalidation Reminder for Providers
All Medicaid-enrolled providers must revalidate their enrollment information every five years. Failure to revalidate by the due date may lead to claim denials and deactivation of billing privileges.
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Louisiana Department of Health leadership announces key initiatives
These priorities were established to create focus and address overarching problems that have prevented Louisianans from achieving better health and independence.
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April 2025 Legislative Oversight Committee Activity
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Attention: Pediatric Healthcare Providers
The Louisiana Perinatal Quality Collaborative (LaPQC) is recruiting pediatric providers, including family practices that provide care for infants, to participate in the next 10-month Caregiver Perinatal Depression Screening (CPDS) Learning Collaborative, beginning in Spring/Summer 2025.
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Louisiana Department of Health launches pilot program to streamline ER utilization
The pilot program extends medical services from LDH's six Medicaid managed care organizations to patient residences via urgent mobile care provided by Acadian Health.