§ 40:1249.3 — Medical assistance programs

Louisiana § 40:1249.3

• Jurisdiction: Louisiana
• Title 40: Public Health and Safety

Text

§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 Opportunities Waiver, the Elderly and Disabled Adults Waiver, and the
Long-Term Personal Care Services program by July 1, 2012.
(2) Developing an objective formula to determine the staff needed to appropriately
regulate and monitor the various home- and community-based programs to control fraud and
abuse, to ensure program regulations are adhered to and services are delivered in a quality
manner, and to report the department's findings.
(3) Changing the policy on the allocation of waiver slots so that the office for
citizens with developmental disabilities and the office of aging and adult services may
allocate all Centers for Medicare and Medicaid Services-approved waivers, such as
Children's Choice, Supports, Residential Options and Adult Day Health Care, based upon
individual need and cost-effectiveness, as long as individual needs are met with the
alternative waivers.
(4) Developing and implementing a budget-neutral pilot program in selected areas
of the state for an integrated, coordinated, prepaid delivery model for long-term care services
for the elderly and people with adult-onset disabilities.
(5) Submitting quarterly reports, the first report being submitted no later than
October 1, 2010, to the House and Senate committees on health and welfare and the Joint
Legislative Committee on the Budget. Each report shall include:
(a) The number of recipients served in the Long-Term Personal Care Services
program, the Elderly and Disabled Adults Waiver program, and the New Opportunities
Waiver program, and the average annual cost per recipient served in each program.
(b) The number of recipients in each program whose annual cost of services exceeds
the average cost for that program.
(c) The number of recipients in each program whose annual service cost has
increased from the previous year.
(d) The number of persons on waiting lists for each program.
(e) The number of persons on waiting lists who are currently receiving services and
the type of services they are receiving.
(f) The number of persons moved from an existing service to the New Opportunities
Waiver and the additional cost or savings for each person.
(g) The average cost of persons receiving services from both the Long-Term Personal
Care Services program and the Elderly and Disabled Adults Waiver program.
(h) The average cost for persons receiving services in privately operated nursing
facilities and privately operated intermediate care facilities for persons with developmental
disabilities.
(i) The number of waiver recipients whose cost of care exceeds the average cost of
the services being waived.
(j) Other pertinent data as requested by the committees.
B. Repealed by Acts 2022, No. 252, §3.

Legislative History

Acts 2010, No. 305, §1; Redesignated from R.S. 40:1300.323 by HCR 84 of 2015 R.S.; Acts 2022, No. 252, §3; Acts 2022, No. 271, §4.