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Louisiana adopts ‘Netflix’ model to pay for hepatitis C drugs
Louisiana will use the 'Netflix' model, with the goal of treating 10,000 people with hepatitis C in its Medicaid and prison population by 2020.
LDH News
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OAAS 2019 Annual Rulemaking Report
In accordance with the Administrative Procedure Act [R.S. 49:968(K)], the Louisiana Department of Health, Office of Aging and Adult Services (OAAS) is required to prepare an annual report of all OAAS administrative rulemaking procedures taken over the past calendar year. The report found here summarizes OAAS’ rulemaking actions taken in the 2018 calendar year, including Notices of Intent, Emergency Rules, Final Rules and Oversight Reports. This does not include those actions taken in conjunction with the Bureau of Health Services Financing (BHSF). For a listing of all BHSF Rulemaking activities see the Medicaid Rulemaking web page.
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RFP: CMS Reporting and Staff Augmentation
The Louisiana Department of Health (LDH) issued a Request for Proposals (RFP) on December 21, 2018 for qualified proposers to provide cost-reporting, consulting, and technical services for preparing the CMS-21, CMS-21B, CMS-37, and CMS-64 reports, including work papers, schedules, reconciliations, and other supporting documentation, and for preparing Medicaid Accounts Receivable and Accounts Payable amounts to report on the Annual Fiscal Report (AFR) for the State’s Comprehensive Annual Financial Report (CAFR).
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Health Standards Section Expedited Licensing Processing
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The Advocate: Our Views: La. Medicaid program's ancient computers finally getting retired
The official kickoff of a new computer system in state government may not seem like the most dramatic story to come out of Baton Rouge, but it is an important step forward in one of the biggest programs in the budget.
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Audit of prior Medicaid eligibility system supports pending utilization of tax data
Last month, the Louisiana Department of Health unveiled a new Medicaid eligibility and enrollment system that uses the most up-to-date technology to ensure accurate eligibility determinations. This new system addresses many of the limitations of the former, outdated system as identified by the Department, the Legislature and the auditor.
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Medicaid will use federal tax data to determine eligibility
Louisiana’s new Medicaid eligibility and enrollment system will now give the health department access to federal income tax data of potential Medicaid enrollees to ensure they are eligible for Medicaid. This capability is in addition to numerous other income and employment data sources that are now available to Medicaid to ensure that all recipients meet the strict financial eligibility standards.
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Office of Behavioral Health receives $23.1 million State Opioid Response grant
The grant funds the Office’s Louisiana State Opioid Response Project, or LaSOR, to combat the state’s opioid crisis.
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December 2018 Final Rules
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 December 20, 2018 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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Telemedicine – Claim Submissions LAC 50:I.503
Amends the provisions governing telemedicine in order to revise the procedures for claim submissions to comply with recommendations by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services and align with current managed care organization practices.
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School-Based Health Services LAC 50:XV.Chapter 95 and XXXIII.Chapter 41
Amends the provisions governing school-based medical services covered in the Early and Periodic Screening, Diagnosis and Treatment Program and school-based behavioral health services in order to: 1) add services categorized as 504 plans, individual health plans or otherwise medically necessary in addition to those covered by an individual education plan, to the services available for school-based Medicaid claiming; 2) amend the reimbursement methodology to expand allowable billing providers for direct/therapy and nursing services; and 3) add applied behavioral analysis, personal care services and transportation to allowable Medicaid billing.
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Rural Health Clinics – Alternative Payment Methodology LAC 50:XI.16703
Amends the provisions governing the reimbursement methodology for rural health clinics (RHCs) in order to implement an alternative payment methodology to allow RHCs to be reimbursed a separate prospective payment system (PPS) rate for behavioral health and dental services which is at the same rate as the existing all-inclusive encounter PPS rate when such services are rendered on the same day as a medical visit.