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LDH News
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Notice of Intent: Louisiana Commission for the Deaf
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Managed Care for Physical and Behavioral Health – Hospital Directed Payments (LAC 50:I.3113)
Amends the provisions governing directed payments to qualifying hospitals that participate in the Healthy Louisiana Program and contract with the Medicaid managed care organizations in order to reserve the right to discontinue interim directed payments to any hospital whose projected recoupment is greater than 50 percent or who discontinues operations during or prior to the directed payment contract period. .
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Notice of Intent: WIC Participant Eligibility
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Medicaid ends Uninsured Eligibility Group Coverage for COVID-19 testing and vaccines
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May 2023 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 May 20, 2023 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 and Home and Community-Based Services Waivers (LAC 50:XV.Subpart 7 and XXI.Subparts 5, 9, 11, and 13)
Amends LAC 50:XV.Subpart 7 and XXI.Subparts 5, 9, 11, and 13 in order to temporarily extend allowances for early and periodic screening, diagnosis and treatment targeted case management services and flexibilities for certain home and community-based services waivers beyond the May 11, 2023 end of the Coronavirus Disease 2019 (COVID-19) public health emergency, as permitted by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
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Professional Services Program - Physician Directed Treatment-in-Place Ambulance Services (LAC 50:IX.Chapter 13)
Adopts provisions in the Professional Services Program to continue to provide reimbursement for physician directed treatment-in-place ambulance services after the Coronavirus Disease 2019 (COVID-19) public health emergency ends on May 11, 2023.
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Personal Care Services—Long Term and Home and Community-Based Services Waivers (LAC 50:XV.Subpart 9 and XXI.Subparts 3 and 7)
Amends LAC 50:XV.Subpart 9 and XXI.Subparts 3 and 7 in order to temporarily extend long term-personal care services and flexibilities for certain home and community-based services waivers after the Coronavirus Disease 2019 (COVID-19) public health emergency beyond the May 11, 2023 end of the Coronavirus Disease 2019 (COVID-19) public health emergency, as permitted by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
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Pharmacy Benefits Management Program – Reimbursement for Clotting Factor LAC 50:XXIX.949
Amends the provisions governing methods of payment in the Pharmacy Benefits Management Program in order to: 1) change the reimbursement methodology for clotting factor products to a state generated actual acquisition cost ingredient cost and a unit based professional dispensing fee; and 2) limit clotting factor products to pharmacy claims only, in compliance with U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services requirements.
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Medicaid Eligibility – Twelve-Month Continuous Eligibility LAC 50:III.2525
Amends the provisions governing eligibility for the Medical Assistance Program in order to align the exclusions to the 12-month continuous eligibility coverage period for children in the administrative Rule with the Medicaid and Children’s Health Insurance Program (CHIP) State Plans approved by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services.
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Inpatient Hospital Services – Well Baby and Transplant Payments LAC 50:V.Chapter 9
Amends LAC 50:V.Chapter 9 to remove obsolete non-rural, non-state hospital provisions and to repeal uncodified inpatient hospital services rules governing Medicaid transplant services and well baby care reimbursement in order to promulgate these provisions in a codified format for inclusion in the Louisiana Administrative Code.