Louisiana Administrative Code

A. Regulation 115 is promulgated by the commissioner pursuant to the authority granted under the Louisiana Insurance Code, Title 22 of the Louisiana Revised Statutes, including R.S. 22:11, R.S. 22:68, R.S. 22:526, R.S. 22:533, and R.S. 22:535.

A. For the purposes of Regulation 115 the following terms are defined as follows: Commissioner—the commissioner of Insurance for the state of Louisiana. Title Insurance Producer—a person authorized on behalf of the title insurer to issue title insurance reports or policies. Title…

A. Every title insurer and title insurance producer shall retain sufficient records of its affairs, including evidence of the examination of title and determination of insurability and records of its escrow operations and escrow accounts, for a period of ten years. The ten-year p…

A. Regulation 115 shall become effective upon final publication in the Louisiana Register and shall apply to any act or practice committed on or after the effective date.

A. If any section or provision of Regulation 115 or the application to any person or circumstance is held invalid, such invalidity or determination shall not affect other Sections or provisions or the application of Regulation 115 to any persons or circumstances that can be given…

A. Payments for Medicaid covered services will be made under a Prospective Payment System (PPS) and paid on a per visit basis. B. A visit is defined as a face-to-face encounter between a facility health professional and a Medicaid eligible patient for the purpose of providing med…

A. Effective for dates of service on or after October 20, 2007, the Medicaid Program establishes an alternate payment methodology for adjunct services provided by rural health clinics (RHCs) when these professional services are rendered during evening, weekend or holiday hours. T…

A. Effective for dates of service on or after July 1, 2008, the reimbursement methodology for services rendered by a rural health clinic that was licensed as part of a small rural hospital as of July 1, 2007 shall be as follows: 1. Hospital-based rural health clinics shall be rei…

A. This Part governs the registration of doulas by the Louisiana Doula Registry Board pursuant to R.S. 22:1059.1, to allow for health insurance reimbursement of doula services as provided therein.

A. Unless otherwise specifically provided herein or the context clearly requires otherwise, the following words and terms used in this Chapter are defined for the purposes thereof as follows. Board—Louisiana Doula Registry Board. Board Approved Doula Training Organization—an enti…

A. The purpose of this regulation is to implement the provisions of Acts 2001, No. 273 of the Louisiana Legislature, Regular Session, as well as to implement the amendments thereto as set forth in Acts 2003, No. 140 of the Louisiana Legislature, Regular Session, Acts 2007, No. 80…

A. This regulation shall apply to employers that sponsor group health plans.

Group Health Plan—an employee welfare benefit plan as defined in Section 3(1) of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1002(1)) to the extent that the plan provides medical care as defined in this regulation and including items and services paid for as me…

A. Stop-loss or excess policies are required to contain a provision that eligible claims incurred under the group health plan during the initial contract period shall be covered, provided that proof of payment of the eligible claims by the group health plan is furnished to the st…

A. The following claims incurred and paid contract bases are available to suit the needs of diverse employers sponsoring group health plans: 1. paid as defined in Section 16903; 2. run-in as defined in Section 16903; 3. run-out as defined in Section 16903; 4. terminal liability a…

A. Stop-loss or excess insurance shall not be equivalent to reinsurance, nor shall it be referred to as a contract or policy of health insurance under R.S. 22:452(1)(a).

A. Stop loss or excess insurers shall exercise due diligence in ascertaining the legitimacy or authority of the underlying group health plan before issuing coverage. This shall include but not be limited to ensuring that the underlying plan is not a self-insured multiple employer…

A. Stop loss or excess insurance issued to a self-insurance plan must meet the following requirements. 1. The plan must include a provision stating that aggregate stop-loss or excess coverage and specific stop-loss or excess coverage may only be provided by an insurer licensed to…

A. If any provision of this regulation, or the applicability thereof, is held invalid, such invalidity shall not affect other provisions, items, or applications of the regulation which can be given effect without the invalid provision, item, or application.

A. Regulation 116 shall become effective upon final promulgation in the Louisiana Register.

A. Reimbursement for the following services shall be a prospective flat rate for each approved unit of service provided to the waiver beneficiary. One quarter hour (15 minutes) is the standard unit of service and reimbursement shall not be made for less than one quarter hour of s…

A. Establishment of Direct Service Worker Wage Floor for Medicaid Home and Community-Based Services for Intellectual and Developmental Disabilities 1. Effective October 1, 2021, providers of Medicaid home and community-based waiver services operated through the Office for Citizen…

A. Establishment of Support Coordination Workforce Bonus Payments 1. Support coordination providers who provided services from April 1, 2021 to October 31, 2022 shall receive bonus payments of $300 per month for those months for each support coordination worker that worked with p…

A. The Supplemental Nutrition Assistance Program (SNAP) is administered under the authority of applicable federal and state laws.

A. Rules and regulations regarding the implementation of the Food and Nutrition Act of 2008 (P.L. 110-246) have been adopted effective January 1, 2010. B. The Office of the State Register has determined that publication of these rules would be unduly cumbersome and exercised its …

A. The Outreach Program will be discontinued but program informational material will continue to be available.

A. Effective May 1, 1987 homeless Supplemental Nutrition Assistance Program (SNAP) recipients (including newly eligible residents of temporary shelters for the homeless) may use their SNAP benefits to purchase prepared meals served by an authorized public or nonprofit establishme…

A. All individuals residing in group living arrangements who meet the Food and Nutrition Act of 2008 definition of disabled (as defined in Section 3(r) of the Food and Nutrition Act) are eligible to receive SNAP benefits to purchase their prepared meals.

A. Under the authority of Food and Nutrition Act of 2008 and 7 CFR Part 280, the Department of Children and Family Services does hereby establish an Emergency Food Assistance Program for Victims of Disaster. B. This program provides emergency Disaster Supplemental Nutrition Assis…

A. Definitions Authenticated Copy⎯a copy of any public rule, decision or order of the secretary, paper or report bearing the original signature of the secretary of the Department of Revenue to establish that the copy is an exact duplicate of such rule, decision, order, paper or r…

A. The commissioner of agriculture and forestry heads and directs the Department of Agriculture and Forestry and exercises all functions of the state relating to the promotion, protection and advancement of agriculture and forestry. The commissioner is authorized by law and does …

A. For purposes of these rules and regulations, the following words and phrases shall have the meaning given herein. Alternative Livestock—any imported or domestically raised exotic deer and antelope, elk or farm-raised white-tailed deer. Certified Herds—a herd that has enrolled …

A. Any person who keeps, breeds, raises, contains, harvests, kills, slaughters, buys, sells, trades, or transfers ownership of any type of farm-raised alternative livestock for commercial purposes shall obtain a farm-raising license, from the department prior to engaging in such …

A. Farm-Raising License Fees 1. The fee for a new farm-raising license shall be $250. 2. The farm-raising license renewal fee shall be $250. B. Delinquent Fees 1. Any farm raised license renewal not received by August 31 may be assessed a late fee of $125. C. Farm-Raised Alternat…

A. Written Application. Each applicant for a farm-raising license shall submit a completed written application on a form supplied by the department. In addition to any other information that may be requested by the department the applicant shall provide the following information:…

A. The commissioner may refuse to issue or renew a farm-raising license for any of the following circumstances: 1. the applicant cannot demonstrate to the satisfaction of the commissioner a competency to operate an alternative livestock farm; 2. the applicant has failed to provid…

A. Identification of Farm-Raised Alternative Livestock 1. All farm-raised white-tailed deer shall be identified by means of an electronic implant implanted as follows: a. the electronic implant shall be implanted into the subcutaneous tissue at the base of the left ear; b. all fa…

A. Prior to entering Louisiana, all alternative livestock, except those being transported directly to a state or federally approved slaughter facility, shall: 1. meet the general health requirements promulgated in §501 of this Part 2. have an entry permit number issued by the sta…

A. Farm-raised white-tailed deer shall be harvested by killing only from one-half hour before sunrise to one-half hour after sunset during the period of October 1 through January 31 of the following year, as established by the Louisiana Wildlife and Fisheries Commission. Licensee…

A. No farm-raised alternative livestock shall be released into the wild. B. Farm-raised white-tailed deer meat shall not be bought, sold, traded, or moved in commerce in any way except when taken to state or federally approved slaughter house. Whitetail deer antlers and capes may…

A. The department's authorized representatives may, at any time, enter and inspect all farms on which farm-raised alternative livestock are located for the purposes of issuing, renewing or reviewing farm-raising licenses and to insure compliance with part I of chapter 19-A of tit…

A. The commissioner may suspend or revoke the farm-raising license of any licensee and the harvesting permit issued to any person found guilty of violating part I of chapter 19-A of title 3 of the Revised Statutes, those portions of title 56 of the Revised Statutes related to wil…

A. Whenever the commissioner or his designee has been notified that any cervid, whether in an alternative livestock facility or not, has tested positive for CWD anywhere within the state, he may establish a surveillance zone by the following procedures: 1. by giving notice, in wr…

A. The export of any cervid carcass or part of a cervid carcass originating from a facility, as defined in this Chapter, located within a surveillance zone, is prohibited, except for: 1. meat that has been cut and wrapped; 2. meat that has been boned out; 3. quarters or other por…

A. Except as otherwise indicated herein, the transport of intact deer heads from within a LDAF-designated CWD Quarantined Facility to areas outside of the CWD Quarantined Facility is prohibited and shall be subject to enforcement action as set forth in this Chapter, including but…

A. The transport of alternative livestock into, out of, and within an LDAF-designated surveillance zone is prohibited, except as indicated in this Chapter. B. Alternative livestock may be transported into, out of, and within an LDAF-designated surveillance zone only with prior au…

A. Alternative livestock facilities who have voluntarily enrolled in the USDA/APHIS Herd Certification Program may transport cervids into, out of, and within the surveillance zone subject to the following requirements. 1. Certified Herds who have been in good standing with the US…

A. Permits to transport alternative livestock within an LDAF-designated surveillance zone, and licenses to establish new herds, may be obtained by application to the Office of Animal Health. B. Permits to transport and/or permits to establish new herds may be cancelled by the com…

A. Any person violating the provisions of R.S. 3:3101 et seq. or this Chapter shall be subject to enforcement action B. The commissioner may suspend or revoke any license issued under the provisions of R.S. 3:3108 and this Chapter. The commissioner may also assess a civil penalty…

A. The reimbursement rates for physician services rendered under the Louisiana Behavioral Health Partnership (LBHP) shall be a flat fee for each covered service as specified on the established Medicaid fee schedule. The reimbursement rates shall be based on a percentage of the Lo…