RULEMAKING: Medicaid - Notices of Intent

September 11, 2015
Continues the provisions of the September 20, 2015 emergency rule which amended the provisions governing the Facility Need Review (FNR) program in order to provide a process for supplementing an FNR application that has been denied prior to appeal, provide time frames within which home and community-based service providers must become licensed after they have been approved through the FNR process and amend the provisions governing the FNR process for nursing facilities relative the statutory moratorium.
September 11, 2015
Continues the provisions of the October 1, 2015 emergency rule which amended the provisions governing disproportionate share hospital (DSH) payments to reduce DSH payments to qualifying hospitals for inpatient psychiatric services.
August 11, 2015
Amends the provisions governing TGHs in order to: 1) narrow the statewide management organization’s scope of service administration to CSoC services only; 2) reflect the integration of specialized behavioral health services (with the exception of CSoC services) into the Managed Care for Physical and Basic Behavioral Health model; 3) delegate provider certification functions to managed care organizations; 4) update the provisions governing covered services; and 5) revise the reimbursement methodology to update these provisions to be consistent with current program operations.
August 11, 2015
Amends the provisions governing psychiatric residential treatment facilities to: 1) narrow the statewide management organization’s scope of service administration to CSoC services only; 2) reflect the integration of specialized behavioral health services (with the exception of CSoC services) into the Managed Care for Physical and Basic Behavioral Health model; 3) delegate provider certification functions to managed care organizations; 4) update the provisions governing covered services; 5) revise the service limitations for psychosocial rehabilitation and crisis intervention services; and 6) revise the reimbursement methodology to update these provisions to be consistent with current program operations.
August 11, 2015
Repeals the provisions governing the Louisiana Health Insurance Premium Payment (LaHIPP) program in order to terminate the program as a result of a budgetary shortfall due to the funding for LaHIPP being removed from the executive budget in state fiscal year 2016.
August 11, 2015
Amends the provisions governing managed care for physical and basic behavioral health in order to reflect the integration of specialized behavioral health services into the Managed Care for Physical and Basic Behavioral Health model as a result of the narrowing of the statewide management organization’s scope of service administration for certain behavioral health services. This proposed Rule will also amend the provisions governing recipient participation in order to enroll additional populations into Bayou Health that had been exempt/excluded from participation.
August 11, 2015
Amends the provisions governing home and community-based behavioral health services to: 1) narrow the statewide management organization’s scope of service administration to CSoC services only; 2) reflect the integration of specialized behavioral health services (with the exception of CSoC services) into the Managed Care for Physical and Basic Behavioral Health model; 3) delegate provider certification functions to managed care organizations; and 4) revise the provisions governing the recipient qualifications and the services covered under the waiver.Amends the provisions governing home and community-based behavioral health services to: 1) narrow the statewide management organization’s scope of service administration to CSoC services only; 2) reflect the integration of specialized behavioral health services (with the exception of CSoC services) into the Managed Care for Physical and Basic Behavioral Health model; 3) delegate provider certification functions to managed care organizations; and 4) revise the provisions governing the recipient qualifications and the services covered under the waiver.
August 11, 2015
Amends the provisions governing children’s behavioral health services in order to: 1) narrow the statewide management organization’s scope of service administration to CSoC services only; 2) reflect the integration of specialized behavioral health services (with the exception of CSoC services) into the Managed Care for Physical and Basic Behavioral Health model; 3) delegate provider certification functions to managed care organizations (MCOs); 4) establish coverage for crisis stabilization services; 5) revise the service limitations for psychosocial rehabilitation and crisis intervention services; and 6) revise the reimbursement methodology to reflect capitation payments to managed care organizations rather than a statewide management organization.
August 11, 2015
Amends the provisions governing substance abuse services to: 1) reflect the integration of specialized behavioral health services into the Managed Care for Physical and Basic Behavioral Health model; 2) revise the provisions governing provider certification; 3) update the terminology and service criteria; and 4) revise the reimbursement methodology.
August 11, 2015
Amends the provisions governing behavioral health services coordinated by the statewide management organization (SMO) to: 1) narrow the SMO’s scope of service administration to coordinated system of care (CSoC) services only; 2) reflect the integration of specialized behavioral health services (with the exception of CSoC services) into the Managed Care for Physical and Basic Behavioral Health model; 3) revise the enrollment provisions; and 4) revise the reimbursement methodology to reflect capitation payments to managed care organizations rather than a statewide management organization.