This text of Louisiana § 40:1183.3 (Definitions) is published on Counsel Stack Legal Research, covering Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
§1183.3. Definitions
As used in this Part:
(1)"Cost related to patient care" means all reasonable costs of outpatient and health
services related care of Medicaid beneficiaries determined in accordance with Medicare
regulations governing cost-based reimbursement promulgated by the Health Care Financing
Administration, United States Department of Health and Human Services, establishing the
method or methods to be utilized and the items to be included in determining such costs
related to patient care.
(2)"Department" means the Louisiana Department of Health or its successor in the
role of designated state agency under Title XIX of the Social Security Act or any successor
Act including but not limited to block grants for medical care of the poor.
(3)"FQHC" means a facility which is engaged
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§1183.3. Definitions
As used in this Part:
(1) "Cost related to patient care" means all reasonable costs of outpatient and health
services related care of Medicaid beneficiaries determined in accordance with Medicare
regulations governing cost-based reimbursement promulgated by the Health Care Financing
Administration, United States Department of Health and Human Services, establishing the
method or methods to be utilized and the items to be included in determining such costs
related to patient care.
(2) "Department" means the Louisiana Department of Health or its successor in the
role of designated state agency under Title XIX of the Social Security Act or any successor
Act including but not limited to block grants for medical care of the poor.
(3) "FQHC" means a facility which is engaged in furnishing primary health services
to outpatients by physicians, physician assistants or nurse practitioners, including but not
limited to health services related to family medicine, internal medicine, pediatrics, obstetrics,
and gynecology and such services and supplies incident thereto. Such facility shall serve a
medically underserved population, meaning the population of an urban or rural area
designated by the secretary of the Department of Health and Human Services as an area with
a shortage of personal health services or a population group designated by the secretary as
having a shortage of such services, such as migratory and seasonal agricultural workers, the
homeless, residents of public housing, or students and other family members of students of
a particular school or schools. Such a facility shall have been designated as a federally
qualified health center by the secretary of the Department of Health and Human Services and
shall be receiving grants or loans as may be granted by the secretary under 42 U.S.C. 254b.
(4) "Net uncompensated costs" means the costs related to patient care incurred
during a provider's fiscal year of furnishing outpatient services, net of the cost of treating
Medicare patients, Medicaid payments for inpatient and outpatient services, excluding
disproportionate share payments, costs associated with patients who have insurance for
services provided, and payments received from uninsured patients.
(5) "State plan for medical assistance" means the plan promulgated by the
department in accordance with its role as a designated state agency under Title XIX of the
Social Security Act, or its successor plan including but not limited to block grants for
medical care to the poor.