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LDH News
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Provider Bonus Payments Webinar
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Bonus Payments for Direct Support Workers/Support Coordinators
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Third Party Liability – Pay and Chase LAC 50:I.8301
Amends the provisions governing recovery for claims involving third party liability in order to ensure that the current pay and chase methodology is reflected in the Louisiana Administrative Code, in compliance with the Bipartisan Budget Act of 2018.
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Rural Health Clinics – Reimbursement Methodology LAC 50:XI.16705
Continues the provisions of the July 1, 2023 Emergency Rule, which amended the provisions governing rural health clinics (RHCs) in order to remove the cutoff date to allow existing RHCs licensed as small rural hospital outpatient departments after July 1, 2007 and new RHCs to be reimbursed at 110 percent of cost.
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Outpatient Hospital Services – Public Non-State Small Rural Hospitals LAC 50:V.5311, 5511, 5911, and 6113
Continues the provisions of the July 1, 2023 Emergency Rule, which amended the provisions governing outpatient hospital services in order to establish quarterly supplemental payments for certain public non-state small rural hospitals located in administrative region 3 that render qualifying services during the quarter.
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Nurse Staffing Agencies – Licensing Standards LAC 48:I.Chapter 77
Adopts provisions governing the licensing of nurse staffing agencies, in compliance with Act 577 of the 2022 Regular Session of the Louisiana Legislature.
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Medicaid Eligibility – Former Foster Care Children Group LAC 50:III.2308
Amends the provisions governing Medicaid eligibility for former foster care children who turned 18 on or after January 1, 2023, in order to remove the requirement that the individuals not be eligible under another mandatory group and to extend coverage to those who aged out of foster care in another state, as long as they otherwise meet the eligibility requirements for the former foster care children group.
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Managed Care for Physical and Behavioral Health - Reimbursement Methodology LAC 50:I.3509
Amends the provisions governing managed care for physical and behavioral health in order to further clarify the reimbursement methodology currently in use for federally qualified health centers and rural health clinics.
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Home and Community-Based Services Waivers – Residential Options Waiver – Self-Direction Initiative LAC 50:XXI.16501
Continues the provisions of the June 9, 2023 Emergency Rule, which amended the provisions governing the Residential Options Waiver self-direction initiative in order to remove specific requirements for employees of beneficiaries in the self-direction service option and stipulate that these providers must meet the qualifications for furnishing personal care services as set forth in LAC 48:I.Chapter 92.
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Home and Community-Based Services Waivers – Community Choices Waiver – Self-Direction Initiative LAC 50:XXI.8501
Continues the provisions of the June 9, 2023 Emergency Rule, which amended the provisions governing the Community Choices Waiver self-direction initiative in order to remove the specific age requirement for employees under the self-direction service option and stipulate that these providers must meet the minimum age requirement per LAC 48:I.Chapter 92.
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Health Services for American Indians - 638 Facilities LAC 50:XV.20301
Amends the provisions governing Health Services for American Indians in order to align the on-site requirements for physicians in tribally operated 638 facilities with the regulations at 42 CFR 440.90 and §1905(a)(9) of the Social Security Act.