· web viewe. claims payment accuracy report 1. the ccn-dbp shall submit an audited claims...

396
CONTENTS February 2013 I. EXECUTIVE ORDERS BJ 13-02 Carry-Forward Bond Allocation 2012...........................................231 II. EMERGENCY RULES Agriculture and Forestry Office of Agriculture and Environmental Sciences, Structural Pest Control CommissionMinimum Specifications for Bait and Baiting Requirements (LAC 7:XXV.141).............232 Minimum Specifications for Trench and Treat Termite Control Work (LAC 7:XXV.141)232 Wood Destroying Insect Report and Requests for Rule Changes or Declaratory Rulings (LAC 7:XXV.101, 121, 165 and 167)............................................233 Children and Family Services Economic Stability SectionDrug Screening, Energy Assistance, and Substance Abuse Treatment Programs (LAC 67:III.1249, 1290, 1291, and 5563).............................235 Health and Hospitals Board of PharmacyCompounding for Prescriber Use (LAC 46:LIII.2535)..............236 Bureau of Health Services FinancingBehavioral Health ServicesSupplemental Payments (LAC 50:XXXIII.Chapter 161)..................................................237 Coordinated Care NetworkDental Benefits Plan (LAC 50:I.Chapter 29)............238 Disproportionate Share Hospital PaymentsPublic-Private Partnerships (LAC 50:V.Chapter 29) 244 Early and Periodic Screening, Diagnosis and TreatmentSchool-Based Nursing Services (LAC 50:XV.Chapter 95).......................................................245 End Stage Renal Disease FacilitiesReimbursement Rate Reduction (LAC 50:XI.6901 and 6903) 248 Family Planning ClinicsReimbursement Rate Reduction (LAC 50:XI.3501)..........248 Family Planning WaiverReimbursement Rate Reduction (LAC 50:XXII.2701).........249 Home and Community-Based Services WaiversAdult Day Health Care Reimbursement Rate Reduction (LAC 50:XXI.2915).............................................250 Home and Community-Based Services WaiversCommunity Choices WaiverReimbursement Methodology (LAC 50:XXI.9501)................................................250 Home and Community-Based Services WaiversResidential Options WaiverReimbursement Rate Reduction (LAC 50:XXI.16901).................................................251 Home and Community-Based Services WaiversSupports WaiverReimbursement Rate Reduction (LAC 50:XXI.6101)............................................................252 Home and Community-Based Waiver ServicesCost Reporting Requirements (LAC 50:XXI.701) 253 Home Health ProgramDurable Medical EquipmentReimbursement Rate Reduction (LAC 50:XIII.10301)..........................................................254 Home Health ProgramNursing and Home Health Aide ServicesReimbursement Rate Reduction (LAC 50:XIII.701)............................................................254 Home Health ServicesCost Reporting Requirements (LAC 50:XIII.121).............255 Hospice Services (LAC 50:XV.3301, Chapter 35, 3701-3703, 3901, 4101, and Chapter 43) 255 Hospice ServicesRepeal of New Enrollments Termination.........................259 Inpatient Hospital ServicesMajor Teaching HospitalsSupplemental Payments (LAC 50:V.1333) 259 Inpatient Hospital ServicesPublic-Private PartnershipsSupplemental Payments (LAC 50:V.Chapter 17)........................................................260 Intermediate Care Facilities for Persons with Developmental DisabilitiesReimbursement Rate Reduction (LAC 50:VII.32903)...........................................................261 Laboratory and Radiology ServicesReimbursement Rate Reduction (LAC 50:XIX.4329 and 4334-4337) 262 LaCHIP Affordable PlanDental ProgramReimbursement Rate Reduction (LAC 50:III.20509) 263 Medical Transportation ProgramEmergency Ambulance ServicesReimbursement Rate Reduction (LAC 50:XXVII.325 and 353)...................................................264 Medical Transportation ProgramEmergency Ambulance ServicesSupplemental Payments (LAC 50:XXVII.327 and 355)...................................................264 Louisiana Register Vol. 39, No. 02 February 20, 2013 i

Upload: phamdung

Post on 22-Mar-2018

217 views

Category:

Documents


3 download

TRANSCRIPT

CONTENTSFebruary 2013

I.

EXECUTIVE ORDERS

BJ 13-02Carry-Forward Bond Allocation 2012231

II.

EMERGENCY RULES

Agriculture and Forestry

Office of Agriculture and Environmental Sciences, Structural Pest Control Commission(Minimum

Specifications for Bait and Baiting Requirements (LAC 7:XXV.141)232

Minimum Specifications for Trench and Treat Termite Control Work (LAC 7:XXV.141)232

Wood Destroying Insect Report and Requests for Rule Changes or Declaratory Rulings

(LAC 7:XXV.101, 121, 165 and 167)233

Children and Family Services

Economic Stability Section(Drug Screening, Energy Assistance, and Substance Abuse Treatment

Programs (LAC 67:III.1249, 1290, 1291, and 5563)235

Health and Hospitals

Board of Pharmacy(Compounding for Prescriber Use (LAC 46:LIII.2535)236

Bureau of Health Services Financing(Behavioral Health Services(Supplemental Payments

(LAC 50:XXXIII.Chapter 161)237

Coordinated Care Network(Dental Benefits Plan (LAC 50:I.Chapter 29)238

Disproportionate Share Hospital Payments(Public-Private Partnerships (LAC 50:V.Chapter 29)244

Early and Periodic Screening, Diagnosis and Treatment(School-Based Nursing Services

(LAC 50:XV.Chapter 95)245

End Stage Renal Disease Facilities(Reimbursement Rate Reduction (LAC 50:XI.6901 and 6903)248

Family Planning Clinics(Reimbursement Rate Reduction (LAC 50:XI.3501)248

Family Planning Waiver(Reimbursement Rate Reduction (LAC 50:XXII.2701)249

Home and Community-Based Services Waivers(Adult Day Health Care Reimbursement

Rate Reduction (LAC 50:XXI.2915)250

Home and Community-Based Services Waivers(Community Choices Waiver(Reimbursement

Methodology (LAC 50:XXI.9501)250

Home and Community-Based Services Waivers(Residential Options Waiver(Reimbursement Rate

Reduction (LAC 50:XXI.16901)251

Home and Community-Based Services Waivers(Supports Waiver(Reimbursement Rate Reduction

(LAC 50:XXI.6101)252

Home and Community-Based Waiver Services(Cost Reporting Requirements (LAC 50:XXI.701)253

Home Health Program(Durable Medical Equipment(Reimbursement Rate Reduction

(LAC 50:XIII.10301)254

Home Health Program(Nursing and Home Health Aide Services(Reimbursement Rate Reduction

(LAC 50:XIII.701)254

Home Health Services(Cost Reporting Requirements (LAC 50:XIII.121)255

Hospice Services (LAC 50:XV.3301, Chapter 35, 3701-3703, 3901, 4101, and Chapter 43)255

Hospice Services(Repeal of New Enrollments Termination259

Inpatient Hospital Services(Major Teaching Hospitals(Supplemental Payments (LAC 50:V.1333)259

Inpatient Hospital Services(Public-Private Partnerships(Supplemental Payments

(LAC 50:V.Chapter 17)260

Intermediate Care Facilities for Persons with Developmental Disabilities(Reimbursement Rate Reduction

(LAC 50:VII.32903)261

Laboratory and Radiology Services(Reimbursement Rate Reduction (LAC 50:XIX.4329 and 4334-4337)262

LaCHIP Affordable Plan(Dental Program(Reimbursement Rate Reduction (LAC 50:III.20509)263

Medical Transportation Program(Emergency Ambulance Services(Reimbursement Rate Reduction

(LAC 50:XXVII.325 and 353)264

Medical Transportation Program(Emergency Ambulance Services(Supplemental Payments

(LAC 50:XXVII.327 and 355)264

This public document was published at a total cost of $2,250. Five hundred copies of this public document were published in this monthly printing at a cost of $2,250. The total cost of all printings of this document including reprints is $2,250. This document was published by Moran Printing, Inc. 5425 Florida Boulevard, Baton Rouge, LA 70806, as a service to the state agencies in keeping them cognizant of the new rules and regulations under the authority of R.S. 49:950-971 and R.S. 49:981-999. This material was printed in accordance with standards for printing bystate agencies established pursuant to R.S. 43:31. Printing of this material was purchased in accordance with the provisions of Title 43 of theLouisiana Revised Statutes.

The Office of the State Register provides auxiliary aids for the Louisiana Register for visually impaired individuals. By appointment, oral presentation of the Register is available at the Office of the State Register, or an audiocassette tape of requested sections of the Register can be provided for the cost incurred by the Office of the State Register in producing such a tape. For more information contact the Office of the State Register.

Nursing Facilities(Reimbursement Methodology(Low Income and Needy Care Collaboration

(LAC 50:II.20023)267

Nursing Facilities(Reimbursement Methodology(Private Room Conversions (LAC 50:II.20010)268

Nursing Facilities(Reimbursement Rate Reduction(After State Fiscal Year 2013 (LAC 50:II.20005)269

Nursing Facilities(Reimbursement Rate Reduction(Before State Fiscal Year 2013 (LAC 50:II.20005)269

Pediatric Day Health Care Program(Reimbursement Rate Reduction (LAC 50:XV.28101)270

Personal Care Services(Long Term(Cost Reporting Requirements (LAC 50:XV.12919)271

Personal Care Services(Long Term(Reimbursement Rate Reduction (LAC 50:XV.12917)271

Pharmacy Benefits Management Program(Methods of Payment (LAC 50:XXIX.105 and Chapter 9)272

Professional Services Program(Anesthesia Services(Reimbursement Rate Reduction

(LAC 50:IX.15133 and 15135)275

Professional Services Program(Family Planning Services Reimbursement Rate Reduction

(LAC 50:IX.15143)276

Professional Services Program(Immunizations Reimbursement Methodology

(LAC 50:IX.8305 and 8505)277

Professional Services Program(Physicians Services(Reimbursement Methodology

(LAC 50:IX.15113)278

Professional Services Program(Reimbursement Methodology(Supplemental Payments

(LAC 50:IX.15151 and 15153)279

Prosthetics and Orthotics(Reimbursement Rate Reduction (LAC 50:XVII.501)281

Substance Abuse Services(Reimbursement Rate Reduction (LAC 50:XXXIII.14701)281

Targeted Case Management(Reimbursement Rate Reduction (LAC 50:XV.10701)282

Licensed Professional Counselors Board of Examiners(Practice of Mental Health Counseling for Serious

Mental Illnesses (LAC 46:LX.505)283

Office for Citizens with Developmental Disabilities(Home and Community-Based Services Waivers

Residential Options Waiver(Reimbursement Rate Reduction (LAC 50:XXI.16901)251

Home and Community-Based Services Waivers(Supports Waiver(Reimbursement Rate Reduction

(LAC 50:XXI.6101)252

Office of Aging and Adult Services(Home and Community-Based Services Waivers(Adult Day

Health Care(Reimbursement Rate Reduction (LAC 50:XXI.2915)250

Home and Community-Based Services Waivers(Community Choices Waiver(Reimbursement

Methodology (LAC 50:XXI.9501)250

Personal Care Services(Long Term(Cost Reporting Requirements (LAC 50:XV.12919)271

Personal Care Services(Long Term(Reimbursement Rate Reduction (LAC 50:XV.12917)271

Office of Behavioral Health(Behavioral Health Services(Supplemental Payments

(LAC 50:XXXIII.Chapter 161)237

Substance Abuse Services(Reimbursement Rate Reduction (LAC 50:XXXIII.14701)281

Office of Public Health(Added Controlled Dangerous Substance (LAC 46:LIII.2704)284

Natural Resources

Office of Conservation(Statewide Orders No. 29-B and 29-B-a (LAC 43:XIX.Chapters 2 and 11)284

Wildlife and Fisheries

Wildlife and Fisheries Commission(Fall Inshore Shrimp Season Closure296

Recreational and Commercial Fisheries Closure(February 7, 2013296

Recreational and Commercial Fisheries Closure(January 17, 2013297

Remote Setting Program298

III.

RULES

Agriculture and Forestry

Office of Agricultural and Environmental Sciences, Structural Pest Control Commission(Structural Pest

Control (LAC 7:XXV.Chapter 1)300

Education

Board of Elementary and Secondary Education(Bulletin 111(The Louisiana School, District and State

Accountability SystemSchool Performance Categories (LAC 28:LXXXIII.1102)304

Bulletin 111(The Louisiana School, District and State Accountability System(School Performance

Score Component (LAC 28:LXXXIII.301, 409, 517, 612 and 613)304

Bulletin 741 (Nonpublic)(Louisiana Handbook for Nonpublic School Administrators(Programs

of Study (LAC 28:LXXIX.107, 109, 110, 111, and 113)306

Technical Revisions and Updates (LAC 28:I.501)307

Student Financial Assistance Commission, Office of Student Financial Assistance(TOPS GPA Calculation

(LAC 28:IV.301)308

Governor

Division of Administration, Office of State Purchasing(Master Agreements; Clauses; Approval

(LAC 34:I.5517)309

Procurement of Consulting Services as Related Services (LAC 34:I.5519)309

Real Estate Appraisers Board(Real Estate(Peer Review Committees and Valuation Services

(LAC 46:LXVII.10309 and 10701).310

Health and Hospitals

Board of Examiners of Psychologists(Fees (LAC 46:LXIII.601 and 603)311

Board of Pharmacy(Controlled Dangerous Substance License for Non-Resident Distributors

(LAC 46:LIII.2705)312

Controlled Dangerous Substances in Emergency Drug Kits (LAC 46:LIII.1713 and 2743)312

Institutional Pharmacies (LAC 46:LIII.1705 and 1727)313

Interstate Remote Processing (LAC 46:LIII.1139 and 1143)313

Prescription Monitoring Program (LAC 46:LIII.2901, 2909, 2911, 2913, 2917, 2921, 2925 and 2931)314

Security of Prescription Department (LAC 46:LIII.1103)315