January Regulatory Update
Friday, January 29, 2016
Posted by: Sabrina Noah
The Louisiana Register published several emergency rules in January which are of interest to our members. As part of our continued efforts to keep you informed, we have developed the following summaries of the proposed administrative rules. Please submit any comments or concerns about any of the proposed rules mentioned below to Wes Hataway, LSMS vice president, legal affairs and general counsel at email@example.com prior to the dates designated below each rule discussion.
Emergency Rule Update
With the start of the new year, the Department of Health and Hospitals, Bureau of Health Services Financing, enacted several emergency rules which merely continue the provisions of previously enacted emergency rules regarding payments and reimbursements. The complete text of the rules can be found here:
Disproportionate Share Hospital Payments Inpatient Psychiatric Services Reimbursement Rate Reduction
Inpatient Hospital Services Non-Rural, Non-State Hospitals Public Hospitals Supplemental Payments
Inpatient Hospital Services Non-Rural, Non-State Hospitals Supplemental Payments for Baton Rouge Area Hospitals
Inpatient Hospital Services Non-Rural, Non-State Hospitals Supplemental Payments for Monroe Area Hospitals
Inpatient Hospital Services Public-Private Partnerships South Louisiana Area
Intermediate Care Facilities for Persons with Intellectual Disabilities Complex Care Reimbursements
Intermediate Care Facilities for Persons with Intellectual Disabilities--Public Facilities Reimbursement Rate Increase
Outpatient Hospital Services Children's Specialty Hospitals Supplemental Payments for New Orleans Area Hospitals
Outpatient Hospital Services Non-Rural, Non-State Hospitals Supplemental Payments for Baton Rouge Area Hospitals
Outpatient Hospital Services Non-Rural, Non-State Hospitals Supplemental Payments for Monroe Hospitals
Outpatient Hospital Services Public-Private Partnerships South Louisiana Area
Pharmacy Benefits Management Program Methods of Payment
Pharmacy Benefits Management Program State Supplemental Rebate Agreement Program
DHH rescinded the October 1, 2015 emergency rule regarding the allocation of the new opportunities waiver (NOW). Effective immediately, the department shall return to the provisions in place prior to October 1, 2015 governing the allocation of waivers. The full text of the rule can be found below.
Home and Community-Based Services Waivers New Opportunities Waiver--Emergency Opportunities
DHH enacted an emergency rule which provides clarification regarding the inclusion of non-emergency transportation services for specialized behavioral health services. The full text of the rule can be found below.
Managed Care for Physical and Basic Behavioral Health--Non-Emergency Medical Transportation
If you have any questions regarding the rules, please contact our Vice President of Legal Affairs, Wes Hataway, at firstname.lastname@example.org