Terms Used In Louisiana Revised Statutes 40:1250.3

  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • 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
  • Reimbursement: means payment for a Medicaid service in accordance with a specified rate. 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

            As used in this Part, the following terms have the meaning ascribed to them in this Section:

            (1) “Department” means the Louisiana Department of Health.

            (2) “Methodology” means the aggregate of methods, principles, assumptions, variables, factors, and procedures used to determine a reimbursement rate.

            (3) “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.

            (4) “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.

            (5) “Rebasing” means using cost report information to adjust Medicaid reimbursement rates to the level dictated by the Medicaid reimbursement methodology for each covered service.

            (6) “Reimbursement” means payment for a Medicaid service in accordance with a specified rate.

            (7) “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.

            Acts 2019, No. 381, §1.