reglab/housing_qa huggingface dataset:
LA Rev Stat § 46:460.7 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.7. Incentive Award Program; dropout reduction; teen pregnancy reduction

RS 460.7 - Incentive Award Program; dropout reduction; teen pregnancy reduction A. The Department of Children and Family Services in consultation with the Department of Education shall develop and implement a special program, the Incentive Award Program, whereby the governing authority of a parish and a parish school system may receive a financial award for reducing the teen pregnancy rate and dropout rate for the parish. B. The department, in developing this program, shall: (1) Develop and define the standards to be used to measure progress. (2) Develop the procedure to be used to collect relevant data to be used to determine progress. (3) Require that the data collected be compiled into an annual progress report which ranks each parish relative to the progress made by the parish in the relevant categories and provide for the delivery of said report to each school, parish governing authority, and parish school system in the state. (4) Provide for the annual identification of at least ten parishes which have made the most significant progress in the past year and which will be eligible for the financial award. C. Through the Incentive Award Program, the department shall provide a financial award to each of the ten parishes identified in the annual progress report which have demonstrated the most significant reduction in dropout rates, as defined by rule of the Department of Education, and in teen pregnancy rates as defined by rule of the Department of Children and Family Services. The financial award shall be distributed to such ten parish school systems. These awards may be expended by the parish school system to implement innovative community-based and school-based programs designed to further reduce the dropout rate and the teen pregnancy rate for the parish and for instructional enhancement programs. D. No award shall be granted through the Incentive Award Program until such time as the state of Louisiana receives a financial bonus award from the federal government provided for in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, which provides for awards to the five states that have demonstrated the largest net decrease in the rate of out-of-wedlock births. Acts 1997, No. 510, §1.
LA Rev Stat § 46:460.8 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.8. TANF eligibility; teen parent living arrangements; work participation requirements; submission of waiver

RS 460.8 - TANF eligibility; teen parent living arrangements; work participation requirements; submission of waiver A.(1) Any recipient of Temporary Assistance for Needy Families Block Grant (TANF) benefits who is less than eighteen years of age, is not married, and is a custodial parent shall live in an approved adult-supervised living arrangement with his or her child, except when evidence is presented to a caseworker of the Department of Children and Family Services that the teen parent, or his or her child, has been subjected to emotional or physical abuse. If the caseworker determines that the teen parent, or his or her child, has been subjected to the abuse of an adult with whom they are living in a primary relationship and that under the circumstances the teen, and his or her child, would be safer living outside the present adult-supervised living arrangement, then the teen parent and child shall be allowed to live outside such living arrangement temporarily. If the teen parent leaves his or her such living arrangement, the caseworker shall monitor the teen's case no less frequently than once a month and shall assist the teen parent in locating another approved adult-supervised living arrangement, taking into consideration the needs and concerns of the teen parent and child. The teen parent shall be allowed to receive TANF benefits on behalf of himself or herself, and his or her child, while temporarily living outside an adult-supervised living arrangement as provided in this Subsection. (2) Work-eligible, minor parents with children who have not yet received a high school diploma or equivalency shall attend school or related education classes designed to obtain a high school diploma or its equivalent. School attendance shall be the primary work activity for those minor parents who do not have a high school diploma or equivalency. These expectations shall become part of the recipient's Family Success Agreement. Minor parents who fail to participate in these activities are subject to sanction for non-participation and are considered to be out of compliance with a Family Success Agreement. B. The secretary of the Department of Children and Family Services may temporarily exempt from the work participation requirements any female who is in a two-parent TANF family who presents sufficient evidence to support a claim that she has been incapable of maintaining a job or regularly reporting to her place of employment because she is a victim of domestic violence and has been forced to move into a shelter or another protective environment outside her home. C. Repealed by Acts 2013, No. 285, §2, eff. June 14, 2013. Acts 1997, No. 774, §1; Acts 2003, No. 58, §1; Acts 2013, No. 285, §2, eff. June 14, 2013.
LA Rev Stat § 46:460.9 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.9. Waivers for victims of domestic violence

RS 460.9 - Waivers for victims of domestic violence A. The secretary shall waive, for as long as necessary, pursuant to a determination of good cause, any public assistance program requirement that will create obstacles for a victim of domestic violence to escape a domestic violence situation, including but not limited to time limits on receipt of assistance, work, training or educational requirements, limitations of TANF requirements, residency requirements, and any other program requirements which will create obstacles for such victim to escape violence or penalize that victim for past, present, and potential for abuse. However, a victim of domestic violence shall develop a plan that specifies the necessary actions, goals, and services that may enable the victim to become free of a domestic violence situation. Such plan shall be made a component of the participant's Family Success Agreement. B. Any information obtained pursuant to this Section regarding a victim of domestic violence shall be used solely for the purposes provided for in Subsection A of this Section or for referral to supportive services and shall not be released to any third party, including a governmental agency unless such agency is authorized to obtain such information by another provision of law. Acts 1997, No. 1248, §2, eff. July 1, 1997; Acts 2003, No. 58, §1.
LA Rev Stat § 46:460.11 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.11. REPEALED BY ACTS 1991, NO. 958, §3 AND ACTS 1991, NO. 1033, §3.

RS 460.11 - REPEALED BY ACTS 1991, NO. 958, §3 AND ACTS 1991, NO. 1033, §3.
LA Rev Stat § 46:460.31 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.31. Definitions

RS 460.31 - Definitions  As used in this Part, the following terms have the meaning ascribed to them in this Section unless the context clearly indicates otherwise:  (1) "Department" means the Louisiana Department of Health.  (2) "Managed care organization" shall have the same meaning as provided for that term in 42 CFR 438.2 and shall also mean any entity providing primary care case management services to Medicaid recipients pursuant to a contract with the department.  (3) "Medicaid" and "medical assistance program" mean the medical assistance program provided for in Title XIX of the Social Security Act.  (4) "Prepaid coordinated care network" means a private entity that contracts with the department to provide Medicaid benefits and services to enrollees of the Medicaid managed care program in exchange for a monthly prepaid capitated amount per member.  (5) "Primary care case management" means a system in which an entity contracts with the state to furnish case management services, which include but are not limited to the location, coordination, and monitoring of primary health care service to Medicaid beneficiaries.  (6) "Secretary" means the secretary of the Louisiana Department of Health.  Acts 2013, No. 312, §1, eff. Jan. 1, 2014; Acts 2017, No. 349, §2.
LA Rev Stat § 46:460.32 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.32. Repealed by Acts 2019, No. 174, §1, eff. June 11, 2019.

RS 460.32 - Repealed by Acts 2019, No. 174, §1, eff. June 11, 2019.
LA Rev Stat § 46:460.33 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.33. Prior authorization form; requirements

RS 460.33 - Prior authorization form; requirements  A. There shall be a single uniform prescription drug prior authorization form used by all Medicaid managed care organizations, including any Medicaid managed care organization pharmacy benefit managers. The requirement for a single uniform prescription drug prior authorization form shall not apply to prior authorization of specialty drugs or in cases where electronic prescriptions are utilized. All managed care organizations shall use a single uniform prescription drug prior authorization form, not to exceed two pages, excluding guidelines or instructions, that has been jointly promulgated by the Louisiana Board of Pharmacy and the Louisiana State Board of Medical Examiners in accordance with the Administrative Procedure Act. A Medicaid managed care organization may include organization specific information on the form, including but not limited to the organization's name, address, logo, and other contact information for the organization. A health care provider may submit the prior authorization form electronically if the Medicaid managed care organization allows for submission of the form in this manner.  B. The Louisiana Board of Pharmacy and the Louisiana State Board of Medical Examiners shall promulgate rules and regulations prior to January 1, 2019, that establish the form which shall be utilized by all Medicaid managed care organizations. The boards may consult with the health insurance issuers, Medicaid managed care organizations, Louisiana Department of Health, and Department of Insurance as necessary in development of the prior authorization form.  C. Pursuant to its contract with any Medicaid managed care organization, the department shall assess sanctions against any Medicaid managed care organization that directly or through its pharmacy benefit managers, utilizes any prescription drug prior authorization form other than the single uniform prescription drug prior authorization form provided for in this Section.  D. The single uniform prescription drug prior authorization form provided for in this Section shall be the same as provided for in R.S. 22:1006.1.  Acts 2013, No. 312, §1, eff. Jan. 1, 2014; Acts 2018, No. 423, §2, eff. Jan. 1, 2019.
LA Rev Stat § 46:460.34 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.34. Step therapy; fail first protocols; requirements

RS 460.34 - Step therapy; fail first protocols; requirements A. Each managed care organization that utilizes step therapy or fail first protocols shall comply with the provisions of this Section. B. When medications for the treatment of any medical condition are restricted for use by a managed care organization by a step therapy or fail first protocol, the prescribing physician shall be provided with and have access to a clear and convenient process to expeditiously request an override of such restriction from the managed care organization. The managed care organization shall expeditiously grant an override of such restriction under any of the following circumstances: (1) The prescribing physician can demonstrate to the managed care organization, based on sound clinical evidence, that the preferred treatment required under step therapy or fail first protocol has been ineffective in the treatment of the Medicaid enrollee's disease or medical condition. (2) The prescribing physician can demonstrate to the managed care organization, based on sound clinical evidence, that the preferred treatment required under the step therapy or fail first protocol will be expected to be ineffective based on the known relevant physical or mental characteristics and medical history of the Medicaid enrollee and known characteristics of the drug regimen. (3) The prescribing physician can demonstrate to the managed care organization, based on sound clinical evidence, that the preferred treatment required under the step therapy or fail first protocol will cause or will likely cause an adverse reaction or other physical harm to the Medicaid enrollee. C. The duration of any step therapy or fail first protocol shall not be longer than the duration of action for the medication as described in the pharmacokinetics section of the package insert approved by the United States Food and Drug Administration when such treatment is demonstrated by the prescribing physician to be clinically ineffective. Acts 2013, No. 312, §1, eff. Jan. 1, 2014.
LA Rev Stat § 46:460.35 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.35. Exemptions

RS 460.35 - Exemptions The provisions of this Part shall not apply to any entity that contracts with the department to provide fiscal intermediary services in processing claims of health care providers. Acts 2013, No. 312, §1, eff. Jan. 1, 2014.
LA Rev Stat § 46:460.36 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.36. Pharmacy reimbursement by managed care organizations

RS 460.36 - Pharmacy reimbursement by managed care organizations  A. Words and terms used in this Section shall have the following meanings:  (1) "Department" means the Louisiana Department of Health.  (2) "Legacy Medicaid rate" means the lesser of one of the following:  (a) The published Medicaid fee-for-service reimbursement rate for the combination of the ingredient cost and dispensing fee in use for the current approved Medicaid state plan in effect on the date of service.  (b) The usual and customary charge. This charge shall be the price the provider most frequently charges the general public for the same drug unless otherwise defined in the current approved Medicaid state plan in effect on the date of service.  (c) The pharmacy's submitted charge.  (3) "Local pharmacy" means any pharmacy, domiciled in at least one Louisiana parish that meets both of the following criteria:  (a) Contracts with the managed care organization or the managed care organization's contractor in its own name or through a pharmacy services administration organization and not under the authority of a group purchasing organization.  (b) Has fewer than ten retail outlets under its corporate umbrella.  B., C. Repealed by Acts 2017, No. 301, §2, eff. Oct. 1, 2017.  D. No managed care organization shall pay a local pharmacy a per-prescription reimbursement at a rate less than the legacy Medicaid rate.  E. Repealed by Acts 2017, No. 301, §2, eff. Oct. 1, 2017.  Acts 2015, No. 399, §2; Acts 2017, No. 301, §§1, 2, eff. Oct. 1, 2017.
LA Rev Stat § 46:460.41 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.41. Definitions

RS 460.41 - Definitions  As used in this Part, the following terms shall have the meaning ascribed to them in this Section unless the context clearly indicates otherwise:  (1) "Department" means the Louisiana Department of Health.  (2) "Health care provider" or "provider" means a physician licensed to practice medicine by the Louisiana State Board of Medical Examiners or other individual health care practitioner licensed, certified, or registered to perform specified health care services consistent with state law.  (3) "Managed care organization" shall have the same meaning as provided for that term in 42 CFR 438.2 and shall also mean any entity providing primary care case management services to Medicaid recipients pursuant to a contract with the department.  (4) "Medicaid" and "medical assistance program" mean the medical assistance program provided for in Title XIX of the Social Security Act.  Acts 2013, No. 311, §1.
LA Rev Stat § 46:460.42 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.42. Claims payment for care rendered to newborns; reporting

RS 460.42 - Claims payment for care rendered to newborns; reporting A. Each managed care organization shall compensate, at a minimum, ninety percent of the Medicaid fee-for-service rate in effect for each service coded as a primary care service rendered to a newborn Medicaid beneficiary within thirty days of the beneficiary's birth regardless of whether the Medicaid provider rendering the services is contracted with the managed care organization, but subject to the same requirements as a contracted provider. B. On or before January 1, 2014, and annually thereafter, the department shall report to the House and Senate committees on health and welfare the incidence and causes of all re-hospitalizations of infants born premature at less than thirty-seven weeks gestational age and who are within the first six months of life. Acts 2013, No. 311, §1.
LA Rev Stat § 46:460.52 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.52. Exemptions

RS 460.52 - Exemptions  The provisions of this Part shall not apply to any entity contracted with the Louisiana Department of Health to provide fiscal intermediary services in processing claims of the health care providers.  Acts 2013, No. 358, §1, eff. Jan. 1, 2014.
LA Rev Stat § 46:460.53 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.53. Contract amendments; public notice

RS 460.53 - Contract amendments; public notice  A. The department, prior to executing any amendment to a professional, personal, consulting, or social services contract that provides for managed care under the Louisiana Medical Assistance Program through the use of a managed care organization, primary care case management, prepaid inpatient health plan, or prepaid ambulatory health plan, all as defined in 42 CFR 438.2, shall publish on a publicly accessible page of the department's website a copy of the entire proposed contract amendment and provide a public comment period of no less than thirty days.  B. If the department finds that an imminent peril to the public health, safety, or welfare requires immediate execution of a proposed contract amendment without otherwise publishing the proposed contract amendment as required in Subsection A of this Section, the department may execute the proposed contract amendment upon publishing a copy of the contract amendment and a written statement that details the reason for finding that an imminent peril to the public health, safety, or welfare requires adoption of the executed amendment.  Acts 2019, No. 319, §1.
LA Rev Stat § 46:460.54 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.54. Medicaid policies and procedures; procedure for adoption; required content

RS 460.54 - Medicaid policies and procedures; procedure for adoption; required content  A. The department, prior to adopting, approving, amending, or implementing any policy or procedure, shall publish the proposed policy or procedure on a publicly accessible page of the department's website for a period of no less than forty-five days for the purpose of soliciting public comments. The proposed policy or procedure shall be published in a format to be determined by the department but shall include both the existing policy or procedure and the proposed policy and procedure, with the proposed language in the text printed in boldface type and underscored. All present policy or procedure language and punctuation which are to be deleted shall be struck through.  B. A policy or procedure proposed by a managed care organization shall not be implemented unless the department has provided its express written approval to the managed care organization after the expiration of the public notice period required by this Section.  C. If the department finds that an imminent peril to the public health, safety, or welfare requires immediate approval of a proposed policy or procedure without otherwise publishing the proposed policy or procedure as required in Subsection A of this Section, the department may implement the proposed policy or procedure upon publishing a written statement that details its reason for finding that an imminent peril to the public health, safety, or welfare requires adoption of the proposed policy or procedure and a copy of the policy or procedure.  D. The provisions of this Section shall not apply to any policy or procedure that is otherwise duly promulgated in accordance with the Administrative Procedure Act or included in a duly executed contract amendment.  E. The department or a managed care organization shall be prohibited from enforcing any policy or procedure that is not adopted in compliance with this Section and any such policy or procedure shall be null and void and considered a violation of the public policy of this state.  F. If the managed care organization makes any policy or procedure change, the managed care organization shall submit the changes to the department for approval within the time specified by the department.  G. The department shall include in its Medicaid policies and procedures all of the following information relating to telehealth:  (1) An exhaustive listing of the covered healthcare services which may be furnished through telehealth.  (2) Processes by which providers may submit claims for reimbursement for healthcare services furnished through telehealth.  (3) The conditions under which a managed care organization may reimburse a provider or facility that is not physically located in this state for healthcare services furnished to an enrollee through telehealth.  Acts 2019, No. 319, §1; Acts 2020, No. 88, §2.
LA Rev Stat § 46:460.63 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.63. Physician participation; conditions for termination

RS 460.63 - Physician participation; conditions for termination  A. With respect to credentialing of a physician whose license is in probationary status pursuant to action by the Louisiana State Board of Medical Examiners, no managed care organization shall terminate participation by that physician in the organization's provider network based solely upon the probationary status of his license or disqualify the physician from initial credentialing based solely upon the probationary status of his license.  B. No managed care organization shall terminate participation by a physician in the organization's provider network unless such action is taken pursuant to an established credentialing committee procedure.  Acts 2016, No. 250, §1.
LA Rev Stat § 46:460.70 (2021)
2021 Louisiana Laws|Revised Statutes|Title 46 - Public Welfare and Assistance|§460.70. Timely filing of claims

RS 460.70 - Timely filing of claims  In accordance with the provisions of R.S. 46:442, the department shall not limit the period within which a provider may submit a claim for payment for a covered service rendered to an enrollee to less than three hundred sixty-five days from the date the service was provided. This prohibition on limiting the claim submission period to less than three hundred sixty-five days from the date of service shall apply relative to claims submitted directly to the department and to claims submitted to all of the following entities:  (1) A managed care organization.  (2) Any of the following entities as defined in 42 CFR 438.2:  (a) A prepaid ambulatory health plan.  (b) A prepaid inpatient health plan.  (c) A primary care case manager.  Acts 2015, No. 21, §1.