Louisiana Administrative Code

A. During the term of the lease purchase contract applicable to the individual pieces of equipment, the using agency shall maintain at its expense property insurance on the equipment for the replacement value of the equipment or the remaining outstanding lease payments owed by th…

A. The using agency shall at all times during the lease, at using agency's expense, maintain, preserve and keep the equipment in good repair and working order in full and complete accordance with the selected vendor's specifications. The using agency shall furnish proof that the …

A. Title to the selected equipment shall be retained by the nonprofit lessor until such time as the equipment is paid for in accordance with the equipment lease-purchase contract, at which time title shall be transferred to the using agency.

A. The using agency through its bonded property manager shall enter and maintain the equipment on the State Master Listing of Inventory (AM014) with an acquisition code of 6 (loan) and the classification code of 5262550 (LPFA Equip.―D of A) in the Classification Code column durin…

A. The purchase of the selected equipment by the nonprofit lessor are exempt from state and local sales tax to the same extent as the state would be if the state was making the actual procurement, all in accordance with R.S. 39:1765.B. Attachment "A" American Bank and Trust Compa…

A. Each laboratory seeking accreditation shall maintain their Quality Assurance/Quality Control (QA/QC) program using appropriate document control practices. The quality assurance manual, analytical methods, and administrative procedures necessary to meet requirements of these re…

A. The laboratory shall be furnished with or have access to all items of equipment required for correct performance of the analytical procedures for which it is accredited. B. All equipment shall be properly maintained. Maintenance shall be documented. C. Defective equipment shal…

A. Measuring and testing equipment used by the testing laboratory shall be calibrated, where appropriate, before being put into service and thereafter according to an established program. B. The overall program of calibration of equipment shall be designed and operated so as to e…

A. The laboratory shall have procedures for making and controlling revisions to in-house SOPs, using revised SOPs only after written authorization from the designated laboratory authority. B. Quality control procedures shall be documented and available to the staff as required in…

A. General Requirements. Radiochemistry and radionuclide assay laboratories shall be subject to the requirements set forth throughout these regulations and to those specific requirements established in this Section. These are minimum specifications, and more stringent criteria ma…

A. Quality assurance practices for toxicity testing laboratories must address all activities that affect the quality of the final effluent toxicity data, such as: 1. effluent sampling and handling; 2. the source and condition of the test organisms; 3. condition of equipment; 4. t…

A. The work carried out by the testing laboratory shall be covered by a report that accurately, clearly, and unambiguously presents the test results and all other relevant information. The report format should be specifically designed for the type of test/analysis reported, but s…

A. The laboratory shall maintain a record system that shall produce accurate, readily available records that document all laboratory activities. The testing laboratory shall retain on record all original raw data and observations, calculations and derived data, calibration record…

A. The purpose of this regulation is to establish the reasonable authority and obligation of managed care organizations related to provider contracts under Acts 1485 and 897 of the 1997 Regular Session of the Louisiana Legislature. The provisions of R.S. 40:1300.125 and R.S. 40:1…

Accreditation/Certification―a hospital that is accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHO) or Medicare certified for provision of acute care hospital services. Community―the parish in which a qualifying rural hospital is located. Discr…

A. Except as otherwise specifically provided, the requirements of this regulation apply to all managed care organizations holding valid certificates of authority to issue for delivery in this state, an insurance policy, plan, or health maintenance organization subscriber agreemen…

A. R.S. 40:1300.115 requires managed care organizations to accept qualifying rural hospitals, and their practicing physicians who meet specific statutory criteria, as providers of health care subject to the terms and conditions that are no more restrictive than applicable to othe…

A. Managed Care Organizations Utilizing a Staff Model Approach 1. Any managed care organization that directly provides health care services to insureds exclusively through its employees and wholly owned facilities that are duly licensed to provide such health care services, are n…

A. General Managed Care Organization Requirements. A physician licensed to practice medicine by the Louisiana Board of State Medical Examiners, practicing in a qualifying rural hospital that has a health care provider contract with a managed care organization for provision of hos…

A. No health care provider contract entered into by a managed care organization shall include any provision or requirement that directly, or indirectly acts to transfer the organization's certificate of authority. A managed care organization shall not be relieved from performance…

A. The CRC shall provide additional supervision when necessary to provide for the safety of all clients. B. The CRC shall: 1. prohibit weapons of any kind on-site; 2. prohibit glass, hand sanitizer, plastic bags in client-care areas; 3. ensure that all poisonous, toxic and flamma…

A. The CRC shall provide a sanitary environment to avoid sources and transmission of infections and communicable diseases. B. The CRC shall have an active Infection Control Program that requires: 1. reporting of infectious disease in accordance with current OPH and federal guidel…

A. The CRC shall have a written emergency preparedness plan to: 1. maintain continuity of the center's operations in preparation for, during and after an emergency or disaster; 2. manage the consequences of all disasters or emergencies that disrupt the center's ability to render …

A. A CRC located in a parish which is the subject of an executive order or proclamation of emergency or disaster issued in accordance with R.S. 29:724 or R.S. 29:766, may seek to inactivate its license for a period not to exceed one year, provided that the center: 1. submits writ…

A. A CRC in an area or areas which have been affected by a non-declared emergency or disaster may seek to inactivate its license, provided that the following conditions are met: 1. the CRC shall submit written notification to the HSS within 30 days of the date of the non-declared…

A. Payment for outpatient hospital clinic services is a flat rate in accordance with the published fee schedule. There shall be no cost settlement for outpatient clinic services except for the specific hospital types identified in Subchapter B of this Chapter.

A. Effective for dates of service on or after July 1, 2008, the reimbursement amount paid to small rural hospitals for outpatient hospital clinic services shall be as follows. 1. Small rural hospitals shall receive an interim payment for claims which shall be the Medicaid fee sch…

A. Effective for dates of service on or after February 20, 2009, the reimbursement paid to non-rural, non-state hospitals for outpatient clinic services shall be reduced by 3.5 percent of the fee schedule on file as of February 19, 2009. B. Effective for dates of service on or af…

A. Effective for dates of service on or after July 1, 2013, quarterly supplemental payments may be issued to qualifying non-rural, non-state public hospitals for clinic services rendered during the quarter. Payment amounts may be reimbursed up to the Medicare outpatient upper pay…

A. Effective for dates of service on or after September 1, 2009, the reimbursement amount paid to children’s specialty hospitals for outpatient hospital clinic services shall be the Medicaid fee schedule amount on file for each service. B. Effective for dates of service on or aft…

A. Effective for dates of service on or after February 10, 2012, medical education payments for outpatient clinic services which are reimbursed by a prepaid risk-bearing managed care organization (MCO) shall be reimbursed by Medicaid annually through the Medicaid cost report sett…

A. Medical Staff Categories 1. Attending Physicians. CSHS attending physicians (also known as staff or contract physicians) are those physicians with whom CSHS has a signed contract for direct medical services. The CSHS attending physician provides the medical component of the mu…

A. CSHS contracts individually with hospitals statewide to provide hospital in-patient care as ordered by the CSHS attending physicians. Hospitalizations are authorized only for facilities with contracts with CSHS. B. Prior authorization is required before a child may be hospital…

A. When an emergency admission occurs, it is the responsibility of the family to contact the CSHS Regional Office immediately. This can be done by: 1. contacting the CSHS Regional Office directly; 2. asking the physician to call; 3. asking the hospital admissions clerk to call; o…

A. At the time of hospital admission, the family must identify the child as being a CSHS patient and have proof of insurance, such as an I.D. card, insurance policy, or letter from an employer. Prior to the admission date, a CSHS Authorization form shall be sent by the CSHS Regio…

A. CSHS does not supplement Medicaid nor issue Authorization forms for hospitalizations for patients with Medicaid coverage. CSHS Regional Office Staff may assist families in utilizing Medicaid benefits and may directly contact Medicaid on behalf of the patient.

A. CSHS does not pay for services provided outside of Louisiana except for cases of extraordinary need. Requests for out of state services must be approved by the CSHS Administrative Unit and will be considered only under the following circumstances: 1. the service is not availab…

A. Out-patient services for CSHS patients may be authorized when : 1. the service is ordered by a CSHS attending physician, 2. the need for the out-patient services is directly related to the condition(s) being treated by CSHS, 3. the patient’s progress in treatment would be impe…

A. CSHS may provide orthotics, prosthetics, wheelchairs and other medical equipment which will aid the patient in rehabilitation. This medical equipment may be provided by the Program when: 1. it is prescribed by the CSHS attending physician and medical justification is provided;…

A. Dental Services are provided for patients with cleft lip and palate or an isolated cleft palate through CSHS. Other patients may receive dental services only with prior approval of the CSHS Program Manager. B. Orthodontic services are provided on a limited basis to those patie…

A. Transportation of patients to and from CSHS clinics and treatment facilities is the responsibility of the family. In unusual or emergency situations, CSHS may assist and/or pay for transportation with the approval of the CSHS Program Manager

Administrator―the person appointed by the governing body, in writing, who is responsible for the overall management of the facility and enforces the rules and regulations as set forth by the governing body and appropriate federal, state and local agencies. Agency―any division of …

A. Application for license is made by applying in writing to the Licensing and Certification Division, Department of Health and Human Resources, P.O. Box 3767, Baton Rouge, Louisiana 70821. This means that the applicant is requesting that the facility be surveyed for licensure. A…

A. Ordinarily, licenses are issued for a period of one year. Two months before the expiration date application for relicensure must be made to the Licensing and Certification Division on forms supplied by that office. The relicensure survey is the same procedure as that of the in…

A. If the license is refused, suspended or revoked because a facility is not suitable, is not properly managed, as such, or does not meet minimum requirements for licensure, the procedure is as follows: 1. The secretary, Department of Health and Human Resources, by registered let…

A. The following standards must be met by all facilities regardless of the type of disability with which they are primarily concerned.

A. When state or applicable local law provides for licensing of facilities of this nature, the facility must be licensed pursuant to such law. B. The facility must be in conformity with federal, state and local laws, codes and regulations pertaining to health and safety, includin…