Bj 10-11 Property Use for Emergency Berm Project for Deepwater Horizon Oil Spill Response 1412

Title 7

AGRICULTURE AND ANIMALS

Part XXVII. Agricultural Commodity Dealer and Warehouse Law

Chapter 1. Agricultural Commodities Commission

Subchapter E. Assessments and Fees

§128. Fees: Amount, Time of Payment

A. - C.3. …

4. Official Services (including sampling except as indicated)

Online D/T sampling inspection service
(sampling, grading and certification), per regular hour

$25.00

Overtime hourly rate, per hour

$40.00

Unit Inspection Fees:

Aflatoxin Testing, per sample

$30.00

Hopper Car, per car

$20.00

Boxcar, per car

$15.00

Truck/Trailer, per carrier

$10.00

Barge, per 1,000 bushels

$ 2.50

Submitted sample inspection

$12.00

Re-grade grain sample

$15.00

* * *

AUTHORITY NOTE: Promulgated in accordance with R.S. 3:3405, R.S. 3:3414.3 and R.S. 3:3422.

HISTORICAL NOTE: Promulgated by the Department of Agriculture, Office of Agro-Consumer Services, Agricultural Commodities Commission, LR 12:287 (May 1986), amended LR 14:528 (August 1988), LR 19:889 (July 1993), LR 23:196 (February 1997), LR 27:815 (June 2001), amended by the Department of Agriculture and Forestry, Office of the Commissioner, Agricultural Commodities Commission, LR 30:197 (February 2004), LR 36:

Dr. Mike Strain, DVM

Commissioner

1007#006

DECLARATION OF EMERGENCY

Department of Health and Hospitals

Bureau of Health Services Financing

CommunityCARE Program
Immunization Pay-for-Performance Initiative
Payment Levels (LAC 50:I.2915)

The Department of Health and Hospitals, Bureau of Health Services Financing amends LAC 50:I.2915 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act and as directed by Act 10 of the 2009 Regular Session of the Louisiana Legislature which states: “The secretary is directed to utilize various cost containment measures to ensure expenditures remain at the level appropriated in this Schedule, including but not limited to precertification, preadmission screening, diversion, fraud control, utilization review and management, prior authorization, service limitations, drug therapy management, disease management, and other measures as permitted under federal law.”

This Emergency Rule is promulgated in accordance with the provisions of the Administrative Procedure Act, R. S. 49:953(B)(1) et seq., and shall be in effect for the maximum period allowed under the Act or until adoption of the final Rule, whichever occurs first.

The Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing amended the provisions governing the CommunityCARE Program in order to implement an immunization pay-for-performance supplemental payment based on the provider’s participation in the Louisiana Immunization Network for Kids Statewide and performance in achieving immunization benchmarks (Louisiana Register, Volume 33, Number 6).

As a result of a budgetary shortfall in state fiscal year 2010, the department promulgated an Emergency Rule which amended the provisions governing the CommunityCARE Program to revise the payment levels for the pay-for-performance initiative (Louisiana Register, Volume 36, Number 2). The department subsequently amended the February 1, 2010 Emergency Rule to further revise the payment levels (Louisiana Register, Volume 36, Number 3). This Emergency Rule is being promulgated to continue the provisions of the April 1, 2010 Emergency Rule. This action is being taken to avoid a budget deficit in the medical assistance programs.

Effective July 31, 2010 the Department of Health and Hospitals, Bureau of Health Services Financing amends the provisions governing the reimbursement methodology for the CommunityCARE Program to revise the payment levels for the immunization pay-for-performance initiative.

Title 50

PUBLIC HEALTH—MEDICAL ASSISTANCE

Part I. Administration

Subpart 3. Medicaid Managed Care

Chapter 29. CommunityCARE

§2915. Immunization Pay-for-Performance

A. - C.3. ...

D. Effective February 1, 2010, supplemental payments shall be available to physicians when 50-74 percent of the recipients are up-to-date with the appropriate vaccine series by 24 months of age. The payment shall be $0.25 per Medicaid recipient under the age of 21 linked to the CommunityCARE PCP.

E. Effective April 1, 2010, supplemental payments shall be available to physicians when 60-74 percent of the recipients are up-to-date with the appropriate vaccine series by 24 months of age. The payment shall be $0.25 per Medicaid recipient under the age of 21 linked to the CommunityCARE PCP.

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 33:1139 (June 2007), amended by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 36:

Implementation of the provisions of this Rule may be contingent upon the approval of the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), if it is determined that submission to CMS for review and approval is required.

Interested persons may submit written comments to Don Gregory, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030. He is responsible for responding to inquiries regarding this Emergency Rule. A copy of this Emergency Rule is available for review by interested parties at parish Medicaid offices.

Alan Levine

Secretary

1007#072

DECLARATION OF EMERGENCY

Department of Health and Hospitals

Bureau of Health Services Financing

CommunityCARE Program
Primary Care Provider Referral Exemptions
(LAC 50:I.2911)

The Department of Health and Hospitals, Bureau of Health Services Financing amends LAC 50:I.2911 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act. This Emergency Rule is promulgated in accordance with the provisions of the Administrative Procedure Act, R.S. 49:953(B)(1) et seq., and shall be in effect for the maximum period allowed under the Act or until adoption of the final Rule, whichever occurs first.

The Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing amended the provisions governing the CommunityCARE Program to establish the program as an optional statewide covered service under the Medicaid State Plan instead of a waiver service, and to provide for the exclusion of certain additional Medicaid recipients from mandatory participation in the program (Louisiana Register, Volume 32, Number 3). The department now proposes to amend the provisions governing the CommunityCARE Program to exempt urgent care facilities and retail convenience clinics from the requirement to obtain a written referral/authorization from the primary care physician in order to receive reimbursement for services rendered to Medicaid recipients who are enrolled in CommunityCARE. In addition, these provisions are being amended to include the exemption of a service that had been inadvertently omitted from the previous list of exempted services.

This action is being taken to promote the health and welfare of Medicaid recipients by facilitating access to cost-effective, walk-in health services. It is estimated that implementation of this Emergency Rule will be cost neutral for state fiscal year 2010-2011.

Effective for dates of service on or after July 1, 2010 the Department of Health and Hospitals, Bureau of Health Services Financing amends the provisions governing the CommunityCARE Program to exempt urgent care facilities and retail convenience clinics from the PCP referral requirements.

Title 50

PUBLIC HEALTH―MEDICAL ASSISTANCE

Part I. Administration

Subpart 3. Medicaid Coordinated Care

Chapter 29. CommunityCARE

§2911. PCP Referral/Authorization

A. The following Medicaid-covered services do not require written referral/authorization by the recipient’s PCP:

1. - 18. …

19. services provided through the Office of Public Health’s Women, Infants, and Children (WIC) program;

20. services provided by school based health centers to recipients age 10 and older;

21. dentures for adults; and

22. services provided by urgent care facilities and retail convenience clinics.

a. These providers furnish walk-in, non-routine care as an alternative to emergency department care when access to primary care services is not readily available to meet the health needs of the recipient.

b. Urgent care facilities and retail convenience clinics must provide medical record notes of the visit to the recipient’s PCP within 48 hours of the visit.

B. - B.1. …

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 29:909 (June 2003), amended LR 32:405 (March 2006), amended by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 36:

Implementation of the provisions of this Rule may be contingent upon the approval of the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS), if it is determined that submission to CMS for review and approval is required.

Interested persons may submit written comments to Don Gregory, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030. He is responsible for responding to inquiries regarding this Emergency Rule. A copy of this Emergency Rule is available for review by interested parties at parish Medicaid offices.

Alan Levine

Secretary

1007#026

DECLARATION OF EMERGENCY

Department of Health and Hospitals

Bureau of Health Services Financing

Disproportionate Share Hospital Payments
Mental Health Emergency Room Extensions
(LAC 50:V.2711)

The Department of Health and Hospitals, Bureau of Health Services Financing proposes to amend LAC 50:V.2711 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act.This Emergency Rule is promulgated in accordance with the provisions of the Administrative Procedure Act, R.S. 49:953(B)(1) et seq., and shall be in effect for the maximum period allowed under the Act or until adoption of the final Rule, whichever occurs first.

The Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing adopted provisions for the reimbursement of uncompensated care costs for psychiatric services provided by non-state acute care hospitals that established a Mental Health Emergency Room Extension (MHERE) and entered into an agreement with the Office of Mental Health (Louisiana Register, Volume 34, Number 8). The department promulgated an Emergency Rule to amend the August 20, 2008 Rule to change the deadline for hospitals to sign an agreement to participate as an MHERE (Louisiana Register, Volume 35, Number 12). This Emergency Rule is being promulgated to continue the provisions of the December 20, 2009 Emergency Rule. This action is being taken to avoid imminent peril to the health and welfare of Louisiana citizens who are in critical need of emergency psychiatric services by increasing access to these services.

Effective August 19, 2010, the Department of Health and Hospitals, Bureau of Health Services Financing amends the provisions governing disproportionate share hospital payments to non-state acute care hospitals that establish a Mental Health Emergency Room Extension.

Title 50

PUBLIC HEALTH–MEDICAL ASSISTANCE

Part V. Medical Assistance Program–Hospital Services

Subpart 3. Disproportionate Share Hospital Payments

Chapter 27. Qualifying Hospitals

§2711. Mental Health Emergency Room Extensions

A. Medicaid-enrolled non-state, acute care hospitals that establish a Mental Health Emergency Room Extension (MHERE) and sign an addendum to the Provider Enrollment form (PE-50) by July 1, 2010 shall be reimbursed for their net uncompensated care costs for psychiatric services rendered to patients.

A.1. - E. …

AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.

HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 34:1628 (August 2008), amended by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 36:

Interested persons may submit written comments to Don Gregory, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030. He is responsible for responding to all inquiries regarding this Emergency Rule. A copy of this Emergency Rule is available for review by interested parties at parish Medicaid offices.

Alan Levine

Secretary

1007#073

DECLARATION OF EMERGENCY

Department of Health and Hospitals

Bureau of Health Services Financing

Disproportionate Share Hospital Payments
Non-Rural Community Hospitals
(LAC 50.V.2701)

The Department of Health and Hospitals, Bureau of Health Services Financing amends LAC 50:V.2701 in the Medical Assistance Program as authorized by R.S. 36:254 and pursuant to Title XIX of the Social Security Act. This Emergency Rule is promulgated in accordance with the provisions of the Administrative Procedure Act, R.S. 49:953(B)(1) et seq., and shall be in effect for the maximum period allowed under the Act or until adoption of the final Rule, whichever occurs first.

The Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing amended the provisions governing disproportionate share hospital (DSH) payments to revise the provisions governing non-rural community hospitals and federally mandated statutory hospitals to clarify that hospitals qualifying as a non-rural community hospital in state fiscal year 2007-08 may also qualify in the federally mandated statutory hospital category, and to revise the definition of a non-rural community hospital (Louisiana Register, Volume 34, Number 11). In compliance with Act 228 of the 2009 Regular Session of the Louisiana Legislature, the department promulgated an Emergency Rule to amend the provisions governing disproportionate share hospital payments to reallocate any remaining funds from the fiscal year 2009 DSH appropriation to non-rural community hospitals and issue a supplemental payment to these hospitals for their uncompensated care costs (Louisiana Register, Volume 35, Number 7).

Act 10 of the 2009 Regular Session of the Louisiana Legislature directed the department to amend the DSH qualifying criteria and payment methodologies for non-rural community hospitals. In compliance with Act 10, the Department of Health and Hospitals, Bureau of Health Services Financing promulgated an Emergency Rule to amend the provisions of the June 26, 2009 Emergency Rule governing supplemental DSH payments to non-rural community hospitals (Louisiana Register, Volume 36, Number 1). The department now proposes to amend the January 20, 2010 Emergency Rule to amend the provisions governing supplemental DSH payments to non-rural community hospitals in order to redistribute the funds allocated for the state fiscal year 2010 DSH appropriation. This action is being taken to promote the public health and welfare of uninsured individuals and to ensure their continued access to health care by assuring that hospitals are adequately reimbursed for furnishing uncompensated care.

Effective June 29, 2010, the Department of Health and Hospitals, Bureau of Health Services Financing amends January 20, 2010 Emergency Rule to amend the provisions governing supplemental DSH payments to non-rural community hospitals.

Title 50

PUBLIC HEALTH—MEDICAL ASSISTANCE

Part V. Medical Assistance Program—Hospital Services

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