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