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La. Rev. Stat. § 40:1244.1 Physician upper payment limit methodology
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§1244.1. Physician upper payment limit methodology The Louisiana Department of Health is hereby authorized to develop mechanisms to support the continued operation of state-funded healthcare programs, specifically Medicaid, through the utilization of physician upper payment limit…
La. Rev. Stat. § 40:1245.1 Authority to accept and use intergovernmental transfers from local governing
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§1245.1. Authority to accept and use intergovernmental transfers from local governing bodies A. The Louisiana Department of Health may accept intergovernmental transfers from local governing bodies, including but not limited to a parish, for the purpose of enhancing the delivery …
La. Rev. Stat. § 40:1247.1 Funding identification
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§1247.1. Funding identification All parish and municipal entities are hereby authorized to identify funds received from any source other than the state and to consult with the Louisiana Department of Health in an effort to maximize revenues for both the Louisiana Department of He…
La. Rev. Stat. § 40:1248.1 Definitions
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§1248.1. Definitions As used in this Subpart, the following terms have the meaning ascribed to them in this Section: (1) "Department" means the Louisiana Department of Health. (2) "Governmental institutional provider" means either of the following: (a) A nonstate governmental hos…
La. Rev. Stat. § 40:1248.10 Eligibility of funds for federal match; conformance with requirements of federal
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§1248.10. Eligibility of funds for federal match; conformance with requirements of federal Medicaid agency To the extent that any provision of this Subpart or procedure established in accordance with this Subpart causes a local hospital assessment payment authorized by this Subpa…
La. Rev. Stat. § 40:1248.2 Purpose
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§1248.2. Purpose The purpose of this Subpart is to generate revenue by collecting from certain institutional providers a local hospital assessment payment to be used to provide the nonfederal share of a Medicaid payment program directly benefitting the residents of a parish. Acts…
La. Rev. Stat. § 40:1248.21 Dispensation of contraceptive drugs; six-month supply; coverage
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§1248.21. Dispensation of contraceptive drugs; six-month supply; coverage A. The Louisiana Department of Health shall require all Medicaid health plans issued or renewed in this state on or after January 1, 2023, to include the dispensing of a six-month supply of contraceptive dr…
La. Rev. Stat. § 40:1248.3 Applicability; multi-parish funding district
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§1248.3. Applicability; multi-parish funding district A. The provisions of this Subpart shall apply to any parish. B.(1) If a parish has fewer than two hospitals, the parish may join with one or more contiguous parishes with fewer than two hospitals and create a multi-parish fund…
La. Rev. Stat. § 40:1248.4 Parish healthcare provider participation program
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§1248.4. Parish healthcare provider participation program A. The legislature hereby creates a local healthcare provider participation program through which a parish may deposit in a local provider participation fund established by the parish all of the following monies: (1) Any l…
La. Rev. Stat. § 40:1248.5 Powers and duties of parishes; limitations; inspection of provider records
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§1248.5. Powers and duties of parishes; limitations; inspection of provider records A. The governing body of a parish may require a local hospital assessment payment authorized by this Subpart from an institutional provider in the parish. The requirement for payment shall be impl…
La. Rev. Stat. § 40:1248.6 Public hearings
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§1248.6. Public hearings A. Any parish that collects a local hospital assessment payment authorized by this Subpart shall hold an annual public hearing on the amounts of any local hospital assessment payments that the parish intends to require during the year and how the revenue …
La. Rev. Stat. § 40:1248.7 Local provider participation fund; authorized uses
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§1248.7. Local provider participation fund; authorized uses A. Each parish that collects a local hospital assessment payment authorized by this Subpart shall create a local provider participation fund. All income received by a parish pursuant to the provisions of this Subpart, in…
La. Rev. Stat. § 40:1248.8 Local hospital assessment payments; basis; calculation
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§1248.8. Local hospital assessment payments; basis; calculation A. Except as provided in Subsection E of this Section, a parish that collects a local hospital assessment payment authorized by this Subpart may require an annual local hospital assessment payment to be assessed quar…
La. Rev. Stat. § 40:1248.9 Local hospital assessment payments; collection
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§1248.9. Local hospital assessment payments; collection Unless the parish engages an appropriate collection entity, the parish shall collect the local hospital assessment payment authorized by this Subpart. If a sheriff serves as the collection entity, the sheriff may charge and …
La. Rev. Stat. § 40:1249.1 Legislative findings; purpose
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§1249.1. Legislative findings; purpose A. Repealed by Acts 2022, No. 271, §7. B. Repealed by Acts 2022, No. 271, §7. C. Despite the substantial financial commitment that the legislature has made to provide home- and community-based long-term care services, many Louisiana resident…
La. Rev. Stat. § 40:1249.2 Definitions
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§1249.2. Definitions As used in this Part, the following terms have the meaning ascribed in this Section: (1) Repealed by Acts 2022, No. 271, §7. (2) "Department" means the Louisiana Department of Health or its successor in the role of designated state agency under Title XIX of t…
La. Rev. Stat. § 40:1249.3 Medical assistance programs
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§1249.3. Medical assistance programs A. The department shall adopt rules and regulations in accordance with the Administrative Procedure Act with regards to the following: (1) Taking actions necessary to complete implementation of the resource allocation models for the New Opport…
La. Rev. Stat. § 40:1249.4 Electronic visit verification system; implementation; conditions
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§1249.4. Electronic visit verification system; implementation; conditions A. For purposes of this Section, "electronic visit verification system" means an automated point-of-service verification system which electronically verifies that service visits occur and documents the poin…
La. Rev. Stat. § 40:1250.1 Short title
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§1250.1. Short title This Part shall be known and may be cited as the "Disability Services Sustainability Act". Acts 2019, No. 381, §1.
La. Rev. Stat. § 40:1250.11 Monitoring for adequacy and quality of services
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§1250.11. Monitoring for adequacy and quality of services A. The department shall maintain reliable data in a form that permits ongoing monitoring of trending factors that may affect the sufficiency of rates. Such factors may include, without limitation, trends in cost of living …
La. Rev. Stat. § 40:1250.12 Annual review of rates
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§1250.12. Annual review of rates A. The department may conduct annual reviews of all rates by service category and shall make a determination of the level of sufficiency of each rate based on a review of all pertinent data. B. Any reduction in disability rates to providers must b…
La. Rev. Stat. § 40:1250.2 Legislative findings; declaration
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§1250.2. Legislative findings; declaration A. The legislature hereby finds all of the following: (1) Access to quality services for persons with developmental, intellectual, adult-onset, or physical disabilities furnished by private providers is essential for the health, safety, …
La. Rev. Stat. § 40:1250.21 Annual report
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§1250.21. Annual report A. The department shall submit an annual report concerning disability service provider rates to the House Committee on Appropriations, the Senate Committee on Finance, and the legislative committees on health and welfare no later than forty-five days prior…
La. Rev. Stat. § 40:1250.3 Definitions
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§1250.3. Definitions As used in this Part, the following terms have the meaning ascribed to them in this Section: (1) "Department" means the Louisiana Department of Health. (2) "Methodology" means the aggregate of methods, principles, assumptions, variables, factors, and procedur…
La. Rev. Stat. § 40:1250.31 Dental care for certain adults with developmental or intellectual disabilities;
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§1250.31. Dental care for certain adults with developmental or intellectual disabilities; Medicaid coverage required NOTE: Paragraph (A)(1) eff. until an Act of the Louisiana Legislature containing a specific appropriation of monies for the implementation of Act 366 of the 2022 R…
La. Rev. Stat. § 40:1250.32 Administrative rulemaking
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§1250.32. Administrative rulemaking The Louisiana Department of Health shall promulgate all such rules in accordance with the Administrative Procedure Act as are necessary to implement the provisions of this Part. Acts 2021, No. 450, §1. NOTE: The La. Dept. of Health shall take a…
La. Rev. Stat. § 40:1251.1 Title
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§1251.1. Title This Part may be referred to as the Louisiana Medicaid Buy-In Program for Persons with Disabilities Act. Acts 2003, No. 207, §1; Redesignated from R.S. 40:1299.78 by HCR 84 of 2015 R.S.
La. Rev. Stat. § 40:1251.2 Purpose
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§1251.2. Purpose A. The purpose of this Part is to provide for a Medicaid Buy-In Program for persons with disabilities in Louisiana. This program is intended to help working people with disabilities live above the poverty level by providing needed health care coverage. This progr…
La. Rev. Stat. § 40:1251.3 Ticket to Work and Work Incentives Improvement Act Opportunities
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§1251.3. Ticket to Work and Work Incentives Improvement Act Opportunities In accordance with the authority granted the Louisiana Department of Health pursuant to R.S. 36:254(A)(6) and (D)(1)(a)(i) and pursuant to the restrictions contained in this Part, the department shall avail…
La. Rev. Stat. § 40:1251.4 Definitions
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§1251.4. Definitions As used in this Part, the following terms shall have the following meanings: (1) "Medicaid Buy-In Program" means the Louisiana Medicaid Optional program to provide the opportunity for working persons with disabilities to buy access to needed health care and s…
La. Rev. Stat. § 40:1251.5 Buy-In Program Appropriations
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§1251.5. Buy-In Program Appropriations The provisions of this Part shall not be implemented by the department unless funding and performance standards, including a specified target for enrollment, are included in the General Appropriation Act;1 enacted during the 2003 Regular Ses…
La. Rev. Stat. § 40:1251.6 Provisions
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§1251.6. Provisions A. The Louisiana Department of Health shall promulgate regulations governing the following: (1) Procedures for application, application forms, and eligibility criteria for persons with disabilities to obtain coverage. (2) A sliding scale for the buy-in amounts…
La. Rev. Stat. § 40:1253.1 Legislative intent
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§1253.1. Legislative intent A. It is in the best interest of the citizens of the state that the Legislature of Louisiana ensure that the Louisiana Medicaid program is operated in the most efficient and sustainable method possible. With the transition of over two-thirds of the Med…
La. Rev. Stat. § 40:1253.2 Medicaid managed care program; reporting
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§1253.2. Medicaid managed care program; reporting A. The Louisiana Department of Health shall submit an annual report concerning the Louisiana Medicaid managed care program and, if not included within that program, any managed care program providing dental benefits to Medicaid en…
La. Rev. Stat. § 40:1253.3 Louisiana Behavioral Health Partnership; reporting
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§1253.3. Louisiana Behavioral Health Partnership; reporting A. The Louisiana Department of Health shall submit an annual report for the Coordinated System of Care and an annual report for the Louisiana Behavioral Health Partnership to the Senate and House committees on health and…
La. Rev. Stat. § 40:1253.4 Louisiana Department of Health information
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§1253.4. Louisiana Department of Health information A. The Louisiana Department of Health shall make available to the public all informational bulletins, health plan advisories, and guidance published by the department concerning the Louisiana Medicaid managed care program. The d…
La. Rev. Stat. § 40:1253.5 Medicaid state plan amendments
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§1253.5. Medicaid state plan amendments The Louisiana Department of Health shall make available to the public on the department's website all Medicaid state plan amendments and any related correspondence within twenty-four hours of submission to the Centers for Medicare and Medic…
La. Rev. Stat. § 40:1255.1 Definitions
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§1255.1. Definitions As used in this Part, the following terms have the meaning ascribed to them in this Section: (1) "Department" means the Louisiana Department of Health. (2) "Medicaid" means the medical assistance program provided for in Title XIX of the Social Security Act. (…
La. Rev. Stat. § 40:1255.2 Telehealth services; alignment of reimbursement with Medicare policy
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§1255.2. Telehealth services; alignment of reimbursement with Medicare policy A. The department shall periodically review policies regarding Medicaid reimbursement for telehealth services to identify variations between permissible reimbursement under that program and reimbursemen…
La. Rev. Stat. § 40:1257.1 Definitions
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§1257.1. Definitions As used in this Part, the following terms have the meaning ascribed in this Section: (1) "Department" means the Louisiana Department of Health. (2) "Healthcare provider" means a person, partnership, limited liability partnership, limited liability company, co…
La. Rev. Stat. § 40:1257.2 Nonemergency medical transportation services
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§1257.2. Nonemergency medical transportation services A. The Medicaid program of this state shall include nonemergency medical transportation services, referred to hereafter in this Part as "NEMT services". The purpose of NEMT services shall be to provide nonemergency medical tra…
La. Rev. Stat. § 40:1257.3 Standards for services; prohibition
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§1257.3. Standards for services; prohibition No healthcare provider shall contract with or hire a transportation company to provide NEMT services if that company does not meet local, city, and state requirements to provide nonemergency medical transportation as defined in this Pa…
La. Rev. Stat. § 40:1257.4 Rulemaking
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§1257.4. Rulemaking The department shall promulgate in accordance with the Administrative Procedure Act all such rules as are necessary to implement the provisions of this Part. Acts 2022, No. 638, §1.
La. Rev. Stat. § 40:1257.5 Nonemergency medical transportation; transportation network companies
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§1257.5. Nonemergency medical transportation; transportation network companies A. The legislature hereby declares that transportation network companies are possible providers of services that protect and promote public health by facilitating access to primary care, pharmacy servi…
La. Rev. Stat. § 40:1258.1 Definitions
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§1258.1. Definitions As used in this Part, the following terms have the meanings ascribed to them in this Section: (1) "Chimeric antigen receptor (CAR) T-cell therapy" means a treatment that is designed to manipulate T-cell protein to recognize an antigen on targeted tumor cells …
La. Rev. Stat. § 40:1258.2 Medicaid coverage; enrollment qualifications; duties
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§1258.2. Medicaid coverage; enrollment qualifications; duties A. The Louisiana Medicaid program shall cover inpatient and, if deemed appropriate, outpatient coverage of CAR T-cell therapy when such therapy is approved by the United States Food and Drug Administration, used for a …
La. Rev. Stat. § 40:1259.1 Menopausal care; Medicaid coverage
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§1259.1. Menopausal care; Medicaid coverage A. The Louisiana Department of Health shall make available to persons who are eligible for Medicaid benefits under Title XIX of the Social Security Act, 42 U.S.C. 1396 et seq., coverage benefits for hormonal care for any woman who is ex…
La. Rev. Stat. § 40:1259.2 Medicaid coverage for perimenopausal and menopausal care
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§1259.2. Medicaid coverage for perimenopausal and menopausal care A. The Louisiana Medicaid program shall cover inpatient and, if deemed appropriate, outpatient coverage for perimenopausal or menopausal treatment or care when such care or treatment is used for a medically accepte…
La. Rev. Stat. § 40:1261 Health report card
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§1261. Health report card A.(1) The Louisiana Department of Health shall annually prepare a health report card indicating the overall state of health in Louisiana concerning but not limited to the following issues: (a) Health findings of major diseases. (b) Teenage pregnancy and …
La. Rev. Stat. § 40:1262 Health equity; duties of the Louisiana Department of Health
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§1262. Health equity; duties of the Louisiana Department of Health A. The Louisiana Department of Health, in addition to the other powers and duties conferred upon it by law, shall serve as a foundation and resource for addressing health care disparities for women and vulnerable …
