Terms Used In Louisiana Revised Statutes 40:1250.21

  • Department: means the Louisiana Department of Health. See Louisiana Revised Statutes 40:1250.3
  • Methodology: means the aggregate of methods, principles, assumptions, variables, factors, and procedures used to determine a reimbursement rate. See Louisiana Revised Statutes 40:1250.3
  • person: includes a body of persons, whether incorporated or not. See Louisiana Revised Statutes 1:10
  • Provider: means a person, public agency, nonprofit corporation, or a for-profit business entity that provides services under a contract or other agreement with the department. See Louisiana Revised Statutes 40:1250.3
  • Rate: means the amount of money per unit of time for a Medicaid service performed or the amount of money for a Medicaid service performed for a flat fee, such as a per diem. See Louisiana Revised Statutes 40:1250.3
  • Rebasing: means using cost report information to adjust Medicaid reimbursement rates to the level dictated by the Medicaid reimbursement methodology for each covered service. See Louisiana Revised Statutes 40:1250.3
  • Service: means a home- or community-based service, intermediate care facility service, or support coordination service provided to a recipient by a provider under a contract or other agreement with the department. See Louisiana Revised Statutes 40:1250.3

            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 to the convening of each regular session of the Legislature of Louisiana. The report shall include, without limitation, all of the following information:

            (1) Any changes within the previous twelve months to the Medicaid rate methodology for disability services and the current Medicaid rates for those services.

            (2) The date of the last rebasing of Medicaid rates for intermediate care facilities for people with developmental disabilities and any future dates on which those rates are due to be rebased.

            (3) The amount of funding that would be required for an annual adjustment, based on the inflation index, to Medicaid rates for disability services.

            (4) The health market basket inflation index used in calculating the amount of funding that would be needed for an annual adjustment of Medicaid rates for disability services.

            (5) Any proposed changes to the methodology for determining Medicaid rates for disability services.

            B. Upon request of any legislative committee identified in this Section, the secretary of the department or his designee shall appear in person before the committee to present the report required by this Section.

            Acts 2019, No. 381, §1.

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