§ 40:1253.1 — Legislative intent

Louisiana § 40:1253.1

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

Text

§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 Medicaid eligible population
from a fee-for-service based program to a managed care organization based program, it is
imperative that there is adequate reporting from the Louisiana Department of Health in order
to ensure the following outcomes are being achieved:
(1) Improved care coordination with patient-centered medical homes for Medicaid
recipients.
(2) Improved health outcomes and quality of care as measured by metrics, such as
the Healthcare Effectiveness Data and Information Set (HEDIS).
(3) Increased emphasis on disease prevention and the early diagnosis and
management of chronic conditions.
(4) Improved access to Medicaid services.
(5) Improved accountability with a decrease in fraud, abuse, and wasteful spending.
(6) A more financially sustainable Medicaid program.
B. It is in the best interest of the citizens of the state that the Legislature of Louisiana
ensures that the Louisiana Medicaid program, as it relates to recipients with severe mental
illness, is operated in the most efficient and sustainable method possible. The transition of
the services of the office of behavioral health within the Louisiana Department of Health to
a managed care system in which a single statewide management organization operates as a
single point of entry to behavioral health services requires adequate reporting from the
Louisiana Department of Health in order to ensure the following outcomes are being
achieved:
(1) Implementation of a Coordinated System of Care for youth and their families or
caregivers that utilizes a family and youth driven practice model, provision of wraparound
facilitation by child and family teams, family and youth supports, and overall management
of these services by the statewide management organization.
(2) Improved access, quality, and efficiency of behavioral health services for children
not eligible for the Coordinated System of Care and for adults with severe mental illness and
addictive disorders, through management of these services by the statewide management
organization.
(3) Smooth and efficient transition of behavioral health service delivery and
operations from a regional based approach coordinated through the office of behavioral
health within the Louisiana Department of Health to the use of human service districts or
local government entities.
(4) Seamless coordination of behavioral health services with the comprehensive
healthcare system without losing attention to the special skills of the behavioral health
professionals.
(5) Advancement of a resiliency, recovery, and consumer-focused system of
person-centered care.
(6) Implementation of best practices and evidence-based practices that are effective
and efficient and are supported by the data collected from measuring outcomes, quality, and
accountability.
(7) The efficient and effective use of state general funds in order to maximize federal
funding of behavioral services provided by the Medicaid program.

Legislative History

Acts 2013, No. 212, §1; Acts 2014, No. 811, §22, eff. June 23, 2014; Redesignated from R.S. 40:1300.361 by HCR 84 of 2015 R.S.; Acts 2015, No. 158, §1, eff. June 23, 2015.