Louisiana Administrative Code

A. Pre-Existing Conditions 1. Until coverage for an insured enrolled in the LA Health Plan has been in force for 12 consecutive months, benefits for services to be paid to an authorized carrier shall not be available for any illness, injury, or other condition for which: a. the e…

A. There is no benefit provided for the following: 1. any treatment or care not received from a participating hospital or participating provider; 2. private duty nursing; 3. prescription drugs (outpatient) or over-the-counter medicines. However, outpatient prescriptions may be co…

A. An authorized carrier may offer as rider to the LA Health Plan coverage for outpatient prescription drugs that includes a minimal co-payment.

4. Where a sliding scale is utilized for setting an individual or family's premium payment amount (including any contribution which may be made by an employer), the maximum payment amount for the highest income level cannot exceed the upper limits established under §3141.B.1-3 of…

A. An insured under the LA Health Plan is entitled to benefits for covered services as specified in this regulation and in the contract between an authorized carrier and the insured. B. Benefits will be provided only if covered services are prescribed by or performed by or under …

A. All premium payments for coverage are due in advance. Monthly premium payments are for a complete month of coverage. There are no refunds and any cancellations will be effective on the first day of the month for which a premium has not been paid. B. Any insured under the LA He…

A. An insured's spouse who would otherwise lose coverage due to a divorce or death is automatically eligible for coverage in his or her name. B. Coverage for any child terminates the last day of the month during which such child is no longer eligible for coverage under the LA Hea…

A. Title 39, Section 91: Uniform System of Accounting. The Commissioner of Administration shall, under authority of the governor and consistent with the provisions of this Chapter, prescribe and cause to be installed and maintained a uniform system of accounting in all state agen…

A. Pursuant to the above authority, it is hereby ordered that all boards, commissions, departments, agencies, institutions, and offices within the Executive branch of state government shall abide by the following financial reporting procedures, except where specific authority has…

A. The purpose of this policy and procedure memorandum is to establish criteria to be applied in the accrual of revenues and expenditures for governmental fund types of the general and special revenue nature for financial reporting purposes in accordance with generally accepted a…

A. Revenues associated with the economic activity of a particular fiscal year must be recognized (accrued) and reported in that fiscal year: 1. when the revenues are collected during the fiscal year to which they are associated; or 2. when the revenues are collected within 45 day…

A. Expenditures, with the exception of payroll and payroll-related items, shall be recognized in the fiscal year in which the liability for the expenditure was incurred. Payroll and payroll-related expenditures shall remain on the appropriated basis. B. Obligations outstanding at…

A. Any questions concerning this memorandum should be directed to the State Accounting Office of the Division of Administration, Box 44095, Baton Rouge, LA 70804.

A. The licensee or casino operator may only conduct those games and gaming activities expressly authorized by the Act, the rules or its internal controls. B. The division may conditionally approve a new game to allow testing and evaluation to insure that approval of such is in th…

A. Each licensee and casino operator shall submit in writing to the division for review and approval the proposed rules of play prior to the commencement of gaming operations. The rules of play shall be included in the internal controls. The rules of play for each game shall incl…

A. Requirements for gaming equipment, gaming table and gaming table layout shall include, but not be limited to: 1. a gaming table shall have designated positions for the players and for the dealer(s); 2. a gaming table cloth covering shall be imprinted with the name of the licen…

A. The gaming equipment shall be removed from storage and inspected for defects. The tray cover shall be stored and the table bankroll physically counted by the dealer in the presence of a table games supervisor or higher supervisory authority, and verified against the opening ta…

A. Shuffling procedures shall include, but are not limited to: 1. cards shall be shuffled: a. at table opening; b. after each round of play; c. every time a new deck is entered into play; d. when the cutting card has been reached; e. when the automatic shuffler malfunctions; f. w…

A. All wagers at gaming tables shall be made by placing gaming chips or tokens on the appropriate area of the gaming table layout. In addition, each player shall be responsible for the correct positioning of their wager or wagers on the gaming layout regardless of whether or not …

A. Each licensee and casino operator shall establish, for each approved game and electronic gaming device, a minimum and maximum amount that can be wagered on each opportunity of play and shall at all times conspicuously display these limits.

A. Payoff schedules or award cards, subject to approval by the division, shall be displayed at all times either in a conspicuous place on or immediately adjacent to every licensed game or gaming device. Payoff schedules or award cards shall accurately state actual payoffs or awar…

A. The payment of winnings over a specified period of time is prohibited unless otherwise approved by the division.

A. When used in this Part, the following words shall have the meanings as indicated. Ambulance—any enclosed or open vehicle for carrying sick or injured persons operated as part of a regular course of conduct or business for any such purpose. First Aid Certificate—a certificate i…

A. No person shall conduct, maintain, or operate an ambulance for hire unless it is under the immediate supervision and direction of a person holding either a first aid certificate, a registered nurse's license issued under the provisions of Title 37 of the Louisiana Revised Stat…

A. In addition to the requirements of R.S. 40:1232, any hospital, ancillary medical facility or ambulance service, whether public or private, may conduct a program utilizing any certified emergency medical technician—intermediate or certified emergency medical technician-paramedi…

A. This order establishes rules and regulations for termination of any unit established by the Commissioner of Conservation pursuant to the authority of Title 30 of the Revised Statutes of 1950.

A. Unless the context otherwise requires, the words defined in this Section shall have the following meaning when found in this order. District Manager―the manager of any one of the districts of the state of Louisiana under the Office of Conservation, and refers specifically to t…

A. Termination of All Existing Units for a Pool 1. On and after the effective date hereof, a supplemental order terminating all existing units established by the commissioner for a pool may be issued after written application and upon proper showing in the manner provided herein,…

A. For purposes of this Chapter, the following terms are defined. Brand Family―all styles of cigarettes sold under the same trade mark and differentiated from one another by means of additional modifiers or descriptors, including but not limited to “menthol,” “lights,” kings,” an…

A. Permits 1. An exporter license shall be issued to a wholesale dealer with a valid stamping agent designation if that dealer engages in interstate business or affixes the tax stamps of another state. Such wholesale dealer/stamping agent shall first apply for the license prior t…

A. In addition to all other information required of an applicant by Title 26, any partnership, corporation, or limited liability company applying for a tobacco license shall provide the written agreement (partnership) or certificate (corporation and LLC) to the Office of Alcohol …

A. The expiration of retail dealer permits shall be staggered to expire in accordance with the following schedule. Parish Code Parish Name Month Permit Expires 01 Acadia October 02 Allen March 03 Ascension January 04 Assumption November 05 Alveolus July 06 Beauregard March 07 Bie…

A. Tobacco Permits 1. Except as otherwise provided by law and these regulations, tobacco permits shall be issued for a period of no more than one year. 2. Notwithstanding Paragraph A.1 of this Section, the commissioner may issue tobacco permits which are valid for two years to ap…

A. For a renewal application to be timely filed, the application and the appropriate fee must be received by the Office of Alcohol and Tobacco Control on or before the license expiration date. B. Failure to timely file the renewal application will subject the license holder to th…

A. The Office of Alcohol and Tobacco Control may issue a special event permit for a duration of three consecutive days, with no more than 12 such permits issued to any one person within a single calendar year. B. The fee for a special event permit shall be $25.

A. Before a seller mails, ships, or otherwise delivers cigarettes cigars, pipe tobacco, chewing tobacco, smokeless tobacco, or any other tobacco product of any kind in connection with a sale, the seller must verify the consumer's age through electronic or written communication. B…

A. Cigarettes, as defined in R.S. 26:901, produced or manufactured outside of this state cannot be sold or offered for sale in Louisiana, or shipped or transported into the state except to the holder of a wholesaler's permit. Delivery of cigarettes produced or manufactured outsid…

A. To the extent practicable and if the parties do not object, the commissioner may authorize the use of teleconference, video link, or other visual remote communications technology to conduct all or any portion of any hearing authorized by the provisions of Title 26 of the Louis…

A. Only optical services necessitated by an occupational injury or illness are covered. Such services are provided as a result of damage to the eye(s) due to a work injury or exposure. In addition, frames, lenses and contact lenses not originally purchased by the carrier/self-ins…

A. Certain items are not payable by the carrier/self-insured employer unless specifically justified on medical grounds or as a replacement for eyewear of like-quality damaged in an occupational accident. In other words, upgrades such as daily wear to extended wear contact lenses,…

A. Maximum allowable reimbursement lists the maximum payment allowed for vision items described by HCPCS codes. Payment will be the least of: 1. the provider's usual and customary fee; 2. a pre-negotiated amount between the provider and carrier/self-insured employer; or 3. the am…

A. In addition to the definitions listed below, and unless otherwise provided, the definitions in R.S. 3:3202 and §103 shall apply to this Subchapter of these regulations. Base Line Conditions―the pesticide level found in the water of a site immediately preceding the pesticide ap…

A. The maximum contaminant level standards as published by EPA shall be incorporated as standards for pesticides in waters of the state.

A. The procedures for determining whether pesticide concentrations exceed maximum contaminant level standards or pose a threat or reasonable expectation of a threat to human health or the environment shall be: 1. the department shall maintain a water monitoring program; a. water …

A. Upon determination by the commissioner that a threat or reasonable expectation of a threat to human health or to the environment exists or that the maximum contaminant level standards as adopted herein have been exceeded he shall: 1. promptly direct that thereafter the emergen…

A. Intermediate Care Facilities for the Mentally Retarded (ICF/MR) are defined as intermediate care facilities whose primary purpose is to provide health or habilitative services for mentally retarded individuals or persons with related conditions and meet the standards in 42 CFR…

A. Active Treatment Services. The facility must provide or arrange for each client to receive a continuous active treatment program consisting of needed interventions and services in sufficient number and frequency to support the achievement of the objectives identified in the in…

A. Physician Services 1. The health care of each client shall be under the continuing supervision of a Louisiana licensed physician. The facility must ensure the availability of physician services 24 hours a day. The facility must provide or obtain preventive and general medical …

A. The facility must provide or arrange for the provision of routine and emergency drugs and biologicals to its clients. Drugs and biologicals may be obtained from community or contract pharmacists or the facility may maintain a licensed pharmacy. B. Routine administration of med…

A. The facility must furnish, maintain in good repair, and teach clients to use and to make informed choices about the use of dentures, eyeglasses, hearing and other communication aids, braces, and other devices identified by the interdisciplinary team as needed by the client. NO…