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Amends the provisions governing family planning services to remove the limitation on office visits for physical examinations for family planning and family planning-related services to align the Medicaid State Plan with the State Plan amendment governing Medicaid expansion, in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements.
The December 2017 Legislative Oversight Committee reports have been submitted to the respective legislative oversight committees in accordance with R.S. 49:968(D)(1)(b)(c)
The Office of Public Health, Region 5, announced today it is temporarily relocating services and staff from the Jefferson Davis Parish Health Unit in Jennings to the health unit in Allen Parish. The temporary relocation is being done to allow for maintenance, inspections and repairs at the facility.
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 November 20, 2017 edition of the Louisiana Register in accordance with the provisions of the Administrative Procedure Act, R.S. 49:950 et seq.
The Department of Health, Bureau of Health Services Financing has submitted a Potpourri relative to the Pediatric Day Health Care Program – Moratorium on Provider Enrollment to the Office of The State Register for publication in the November 20, 2017 edition of the Louisiana Register.
Continues the provisions of the December 3, 2016 Emergency Rule which amended the provisions governing outpatient abortion clinics in order to comply with the provisions of Acts 97, 563 and 593 of the 2016 Regular Session of the Louisiana Legislature which increased the time period for pre-operative services, mandated the distribution of printed information about services for pregnant women, and established provisions for the disposal of fetal remains.
Amends the provisions governing therapeutic group homes (TGH) in order to: 1) reflect the coordinated system of care (CSoC) contractor moving from a non-risk contract to a full-risk capitated contract; 2) remove the requirement for the Office of Behavioral Health certification of providers; and 3) reflect that TGH are carved out of management by the CSoC contractor to align with current practice and contract requirements.
Amends the provisions governing the licensing standards for psychiatric residential treatment facilities in order to: 1) revise the definition and qualifications for mental health specialists; 2) establish provisions for inactivation of licensure due to non-declared disasters or emergencies; 3) clarify requirements for social media use and reporting; and 4) ensure consistency with other licensing Rules, regulations and processes.
Amends provisions governing managed care for physical and behavioral health in order to align the current Rule with the Code of Federal Regulations and the Louisiana Administrative Code which will: 1) revise timeframes for members to initiate state fair hearings and request appeals; 2) revise the timeframe for managed care organizations to resolve grievances; 3) update definitions to align with federal Rule changes; 4) revise record retention requirements; and 5) clarify reporting requirements.
Amends the provisions governing managed care for physical and behavioral health in order to adopt provisions for an independent review process for healthcare providers who have received an adverse determination on managed care organization claims payments.
Amends the provisions governing laboratory and radiology services to terminate coverage and reimbursement of proton beam radiation therapy for recipients 21 years of age and older.
Amends provisions governing children’s behavioral health services provided through the Home and Community-Based Behavioral Health Services Waiver in order to: 1) reflect the coordinated system of care contractor moving from a non-risk contract to a full-risk capitated contract; and 2) remove the requirement for the Office of Behavioral Health certification of providers.